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Side By Side Ii, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Raytown, Missouri
NPI 1740463231

Side By Side Ii, Inc. is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Raytown, MO. Side By Side Ii, Inc. practices in Raytown, MO. The NPI Number for Side By Side Ii, Inc. is 1740463231 and holds a License No. (Missouri).

The current practice location address for Side By Side Ii, Inc. is 6612 Blue Ridge Boulevard, Raytown, MO and can be reached out via phone at 816-356-0923 and via fax at 816-356-0925.

Location: 6612 Blue Ridge Boulevard, Raytown, MO, 64133
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1740463231
Provider Name
Side By Side Ii, Inc.
Credential
Provider Entity Type
Organization
Address
6612 Blue Ridge Boulevard, Raytown, MO, 64133
Phone Number
816-356-0923
Fax Number
816-356-0925
Provider Enumeration Date
12/07/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
8558833401 05 MO
institution
Provider Business Practice Location Address Details
Address
6612 Blue Ridge Boulevard
City
Raytown
State
Missouri
Zip
64133
Phone Number
816-356-0923
Fax Number
816-356-0925
person
Provider Business Mailing Address Details
Address
6612 Blue Ridge Boulevard
City
Raytown
State
Missouri
Zip
64133
Phone Number
816-356-0923
Fax Number
816-356-0925
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.
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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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