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Mrs. Georgette Elder, BA
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Grain Valley, Missouri
NPI 1467624486

Georgette Elder is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Grain Valley, MO. Georgette Elder practices in Grain Valley, MO and has the professional credentials of BA. The NPI Number for Georgette Elder is 1467624486 and holds a License No. (Missouri).

The current practice location address for Georgette Elder is 704 Nw Meadow Rd, Grain Valley, MO and can be reached out via phone at 816-847-0332 and via fax at 816-847-0332.

Location: 704 Nw Meadow Rd, Grain Valley, MO, 64029-7314
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1467624486
Provider Name
Georgette Elder
Credential
BA
Provider Entity Type
Individual
Gender
Female
Address
704 Nw Meadow Rd, Grain Valley, MO, 64029-7314
Phone Number
816-847-0332
Fax Number
816-847-0332
Provider Enumeration Date
03/31/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
704 Nw Meadow Rd
City
Grain Valley
State
Missouri
Zip
64029-7314
Phone Number
816-847-0332
Fax Number
816-847-0332
person
Provider Business Mailing Address Details
Address
704 Nw Meadow Rd
City
Grain Valley
State
Missouri
Zip
64029-7314
Phone Number
816-847-0332
Fax Number
816-847-0332
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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