Organization
ABLE INDEPENDENT CARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NICOLE D HENSON (OWNER/DIRECTOR)
(913) 909-5205
Entity
Organization
Contact information
Practice address
9310 NW 59TH TER, PARKVILLE, MO 64152-3536
(913) 909-5205
Mailing address
9310 NW 59TH TERRACE, PARKVILLE, MO 64152
(913) 909-5205
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
1115030
MO
Other
Enumeration date
08/10/2015
Last updated
08/10/2015
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