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Garden Of Success Dba: Support Professionals
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Independence, Missouri
NPI 1982878112

Garden Of Success Dba: Support Professionals is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility based in Independence, MO. Garden Of Success Dba: Support Professionals practices in Independence, MO. The NPI Number for Garden Of Success Dba: Support Professionals is 1982878112 and holds a License No. (Missouri).

The current practice location address for Garden Of Success Dba: Support Professionals is 18813 E 25Th St S, Independence, MO and can be reached out via phone at 816-217-1791 and via fax at 816-817-0087.

Location: 18813 E 25Th St S, Independence, MO, 64057-2467
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1982878112
Provider Name
Garden Of Success Dba: Support Professionals
Credential
Provider Entity Type
Organization
Address
18813 E 25Th St S, Independence, MO, 64057-2467
Phone Number
816-217-1791
Fax Number
816-817-0087
Provider Enumeration Date
04/18/2008
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
1740486430 05 MO
institution
Provider Business Practice Location Address Details
Address
18813 E 25Th St S
City
Independence
State
Missouri
Zip
64057-2467
Phone Number
816-217-1791
Fax Number
816-817-0087
person
Provider Business Mailing Address Details
Address
18813 E 25Th St S
City
Independence
State
Missouri
Zip
64057-2467
Phone Number
816-217-1791
Fax Number
816-817-0087
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.
()
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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