Organization · Type 2 NPI

Home Away From Home Healthcare Facility

Intellectual and/or Developmental Disabilities Residential Treatment Facility · Grandview, MO

NPI number 1124233770 Active

Practice location

13323 Crystal Ave
Grandview, MO 64030-3338

Mailing address

2004 SW Kline Ave
Lees Summit, MO 64082-4064

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary 320600000XNone 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.