institution
Jackson Style Group Home
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, Missouri
NPI 1346449105

Jackson Style Group Home is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Grandview, MO. Jackson Style Group Home practices in Kansas City, MO. The NPI Number for Jackson Style Group Home is 1346449105 and holds a License No. (Missouri).

The current practice location address for Jackson Style Group Home is 11815 Beacon Ave, Kansas City, MO and can be reached out via phone at 816-763-8335 and via fax at 816-765-9987.

Location: 11815 Beacon Ave, Kansas City, MO, 64030-1604
institution
Provider Profile Details
NPI Number
1346449105
Provider Name
Jackson Style Group Home
Credential
Provider Entity Type
Organization
Address
11815 Beacon Ave, Kansas City, MO, 64030-1604
Phone Number
816-763-8335
Fax Number
816-765-9987
Provider Enumeration Date
07/12/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11815 Beacon Ave
City
State
Zip
64134-3708
Phone Number
816-763-8335
Fax Number
816-765-9987
person
Provider Business Mailing Address Details
Address
11815 Beacon Ave
City
State
Zip
64134-3708
Phone Number
816-763-8335
Fax Number
816-765-9987
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.
()
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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