institution
Dickerson Isl
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, Missouri
NPI 1255505939

Dickerson Isl is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kansas City, MO. Dickerson Isl practices in Kansas City, MO. The NPI Number for Dickerson Isl is 1255505939 and holds a License No. 9227 (Missouri).

The current practice location address for Dickerson Isl is 9401 E 90Th Ter, Kansas City, MO and can be reached out via phone at 816-353-8850.

Location: 9401 E 90Th Ter, Kansas City, MO, 64138-4770
institution
Provider Profile Details
NPI Number
1255505939
Provider Name
Dickerson Isl
Credential
Provider Entity Type
Organization
Address
9401 E 90Th Ter, Kansas City, MO, 64138-4770
Phone Number
816-353-8850
Fax Number
Provider Enumeration Date
04/14/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
9401 E 90Th Ter
City
State
Zip
64138-4770
Phone Number
816-353-8850
Fax Number
person
Provider Business Mailing Address Details
Address
9401 E 90Th Ter
City
State
Zip
64138-4770
Phone Number
816-353-8850
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
License No.
9227 (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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