Organization · Type 2 NPI
Home Away From Home Healthcare Facility
Intellectual and/or Developmental Disabilities Residential Treatment Facility · Grandview, MO
Practice location
13323 Crystal Ave
Grandview, MO 64030-3338
Mailing address
2004 SW Kline Ave
Lees Summit, MO 64082-4064
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary | 320600000X | None listed |
Intellectual and/or Developmental Disabilities Residential Treatment Facility: A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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About NPI 1124233770
Home Away From Home Healthcare Facility's National Provider Identifier is 1124233770, issued on May 14, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Grandview, MO. The record was last updated on Feb 28, 2008.