Organization
LIFE'S JOURNEY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. ROXANNE HALL (PRESIDENT)
(816) 690-7305
Entity
Organization
Contact information
Practice address
2904 S OUTER BELT RD, OAK GROVE, MO 64075-8152
(816) 690-7305
(816) 625-3040
Mailing address
2904 S OUTER BELT RD, OAK GROVE, MO 64075-8152
(816) 690-7305
(816) 625-3040
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
00690240
MO
Other
Enumeration date
06/06/2007
Last updated
08/04/2008
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