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Ms. Shirley Ann Williamson
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Raytown, Missouri
NPI 1649444720

Shirley Ann Williamson is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kansas City, MO. Shirley Ann Williamson practices in Raytown, MO. The NPI Number for Shirley Ann Williamson is 1649444720 and holds a License No. (Missouri).

The current practice location address for Shirley Ann Williamson is 8108 Blue Ridge Blvd, Raytown, MO and can be reached out via phone at 816-612-1057.

Location: 8108 Blue Ridge Blvd, Raytown, MO, 64138
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1649444720
Provider Name
Shirley Ann Williamson
Credential
Provider Entity Type
Individual
Gender
Female
Address
8108 Blue Ridge Blvd, Raytown, MO, 64138
Phone Number
816-612-1057
Fax Number
Provider Enumeration Date
04/18/2008
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
8108 Blue Ridge Blvd
City
Raytown
State
Missouri
Zip
64138-1552
Phone Number
816-612-1057
Fax Number
person
Provider Business Mailing Address Details
Address
8108 Blue Ridge Blvd
City
Raytown
State
Missouri
Zip
64138-1552
Phone Number
816-612-1057
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.
(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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