Organization
KING MANOR GROUP HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
EVELYN KILGORE (ADMINISTRATOR)
(816) 380-0723
Entity
Organization
Contact information
Practice address
26823 S BROOKHART DR, HARRISONVILLE, MO 64701-6357
(816) 380-0723
(816) 380-5083
Mailing address
26823 S. BROOKHART DRIVE, HARRISONVILLE, MO 64701
(816) 380-0723
(816) 380-5083
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
MO
Other
Enumeration date
12/18/2006
Last updated
08/22/2020
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