Organization
BEACH HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. STACY LYNN BEACH (OWNER)
(816) 880-0792
Entity
Organization
Contact information
Practice address
8626 N SHELDON AVE, KANSAS CITY, MO 64153-2874
(816) 880-0792
(816) 880-0792
Mailing address
8626 N SHELDON AVE, KANSAS CITY, MO 64153-2874
(816) 880-0792
(816) 880-0792
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
8001293
MO
Other
Enumeration date
03/19/2007
Last updated
08/22/2020
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