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Darin Roark
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lees Summit, Missouri
NPI 1437790219

Darin Roark is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Lees Summit, MO. Darin Roark practices in Lees Summit, MO. The NPI Number for Darin Roark is 1437790219 and holds a License No. (Missouri).

The current practice location address for Darin Roark is 2628 Se Kimbrough Ln, Lees Summit, MO and can be reached out via phone at 816-582-3508.

Location: 2628 Se Kimbrough Ln, Lees Summit, MO, 64063-1082
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1437790219
Provider Name
Darin Roark
Credential
Provider Entity Type
Individual
Gender
Male
Address
2628 Se Kimbrough Ln, Lees Summit, MO, 64063-1082
Phone Number
816-582-3508
Fax Number
Provider Enumeration Date
10/03/2019
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2628 Se Kimbrough Ln
City
Lees Summit
State
Missouri
Zip
64063-1082
Phone Number
816-582-3508
Fax Number
person
Provider Business Mailing Address Details
Address
2628 Se Kimbrough Ln
City
Lees Summit
State
Missouri
Zip
64063-1082
Phone Number
816-582-3508
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.
()
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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