Organization
NORTHSTAR RESIDENTIAL CARE, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID BRADLEY NORTH (DIRECTOR)
(816) 795-7652
Entity
Organization
Contact information
Practice address
201 SW 6TH STREET, BLUE SPRINGS, MO 64014
(816) 795-7652
(816) 795-0163
Mailing address
18805 HANTHORNE DR, INDEPENDENCE, MO 64057-1676
(816) 795-7652
(816) 795-0163
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
03/28/2007
Last updated
08/22/2020
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