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Lolita Michele Rowe Gibson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Blue Springs, Missouri
NPI 1205001260

Lolita Michele Rowe Gibson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Blue Springs, MO. Lolita Michele Rowe Gibson practices in Blue Springs, MO. The NPI Number for Lolita Michele Rowe Gibson is 1205001260 and holds a License No. (Missouri).

The current practice location address for Lolita Michele Rowe Gibson is 3809 Sw 8Th Ter, Blue Springs, MO and can be reached out via phone at 816-695-7611.

Location: 3809 Sw 8Th Ter, Blue Springs, MO, 64015-6248
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205001260
Provider Name
Lolita Michele Rowe Gibson
Credential
Provider Entity Type
Individual
Gender
Female
Address
3809 Sw 8Th Ter, Blue Springs, MO, 64015-6248
Phone Number
816-695-7611
Fax Number
Provider Enumeration Date
04/29/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
3809 Sw 8Th Ter
City
Blue Springs
State
Missouri
Zip
64015-6248
Phone Number
816-695-7611
Fax Number
person
Provider Business Mailing Address Details
Address
3809 Sw 8Th Ter
City
Blue Springs
State
Missouri
Zip
64015-6248
Phone Number
816-695-7611
Fax Number
person
Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320900000X
License No.
(Missouri)
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.
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