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Miss Sophia Marilyn Chamberlain
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Overland Park, Kansas
NPI 1568755312

Sophia Marilyn Chamberlain is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kansas City, KS. Sophia Marilyn Chamberlain practices in Overland Park, KS. The NPI Number for Sophia Marilyn Chamberlain is 1568755312 and holds a License No. 856348404 (Kansas).

The current practice location address for Sophia Marilyn Chamberlain is 10635 Floyd St, Overland Park, KS and can be reached out via phone at 816-337-2799. You can also correspond with Sophia Marilyn Chamberlain through the mailing address at PO BOX 11971, KANSAS CITY, MO - 64138-0971 (mailing address contact number: 816-337-2799).

Location: 10635 Floyd St, Overland Park, KS, 64138-0971
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Provider Profile Details
NPI Number
1568755312
Provider Name
Sophia Marilyn Chamberlain
Credential
Provider Entity Type
Individual
Gender
Female
Address
10635 Floyd St, Overland Park, KS, 64138-0971
Phone Number
816-337-2799
Fax Number
Provider Enumeration Date
05/25/2011
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1609992635 05 MO
1164601563 05 MO
1043337942 05 MO
1396862298 05 MO
institution
Provider Business Practice Location Address Details
Address
10635 Floyd St
City
State
Zip
66212-2548
Phone Number
816-337-2799
Fax Number
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Provider Business Mailing Address Details
Address
Po Box 11971
City
State
Zip
64138-0971
Phone Number
816-337-2799
Fax Number
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Provider's Taxonomy Details 1
Type
Residential Treatment Facilities
Classification
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
License No.
856348404 (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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