person
Wade Mccumber
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, Missouri
NPI 1659758282

Wade Mccumber is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kansas City, MO. Wade Mccumber practices in Kansas City, MO. The NPI Number for Wade Mccumber is 1659758282 and holds a License No. LC1390708 (Missouri).

The current practice location address for Wade Mccumber is 11816 N Charlotte St, Kansas City, MO and can be reached out via phone at 816-824-6634.

Location: 11816 N Charlotte St, Kansas City, MO, 64155-1094
person
Provider Profile Details
NPI Number
1659758282
Provider Name
Wade Mccumber
Credential
Provider Entity Type
Individual
Gender
Male
Address
11816 N Charlotte St, Kansas City, MO, 64155-1094
Phone Number
816-824-6634
Fax Number
Provider Enumeration Date
05/04/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
11816 N Charlotte St
City
State
Zip
64155-1094
Phone Number
816-824-6634
Fax Number
person
Provider Business Mailing Address Details
Address
11816 N Charlotte St
City
State
Zip
64155-1094
Phone Number
816-824-6634
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
License No.
LC1390708 (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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