Organization
SIDE BY SIDE II, INC.
Active
Parent organization
SIDE BY SIDE II, INC.
Organization subpart
Yes
Provider details
NPI number
Legal business name
SIDE BY SIDE II, INC.
Authorized official
LAURA L. WEISENBORN (PRESIDENT)
(816) 356-0923
Entity
Organization
Contact information
Practice address
6612 BLUE RIDGE BLVD, RAYTOWN, MO 64133-4847
(816) 356-0923
(816) 356-0925
Mailing address
6612 BLUE RIDGE BLVD, RAYTOWN, MO 64133-4847
(816) 356-0923
(816) 356-0925
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
07/20/2007
Last updated
07/20/2007
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