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The Community Of The Good Shepherd
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Lees Summit, Missouri
NPI 1679601256

The Community Of The Good Shepherd is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Kansas City, MO. The Community Of The Good Shepherd practices in Lees Summit, MO. The NPI Number for The Community Of The Good Shepherd is 1679601256 and holds a License No. (Missouri).

The current practice location address for The Community Of The Good Shepherd is 109 Ne Forest Ave, Lees Summit, MO and can be reached out via phone at 816-554-0067.

Location: 109 Ne Forest Ave, Lees Summit, MO, 64134-2183
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1679601256
Provider Name
The Community Of The Good Shepherd
Credential
Provider Entity Type
Organization
Address
109 Ne Forest Ave, Lees Summit, MO, 64134-2183
Phone Number
816-554-0067
Fax Number
Provider Enumeration Date
03/02/2007
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
109 Ne Forest Ave
City
Lees Summit
State
Missouri
Zip
64063-1902
Phone Number
816-554-0067
Fax Number
person
Provider Business Mailing Address Details
Address
109 Ne Forest Ave
City
Lees Summit
State
Missouri
Zip
64063-1902
Phone Number
816-554-0067
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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