Organization
KINNEY GROUP CARE HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LYNTHIA V. PONDER R.N. (ADMINISTRATOR)
(816) 923-9621
Entity
Organization
Contact information
Practice address
3416 MICHIGAN AVE, KANSAS CITY, MO 64109-2541
(816) 923-9621
Mailing address
3416 MICHIGAN AVE, KANSAS CITY, MO 64109-2541
(816) 923-9621
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
7171986
MO
Other
Enumeration date
02/25/2007
Last updated
08/29/2008
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