Organization · Type 2 NPI

Jackson Style Agency, LLC

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

NPI number 1386701613 Active

Practice location

213 Blue Ridge Ext
Grandview, MO 64030-1603

Call (816) 765-9990 Map

Fax (816) 765-9987

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000XNone listed
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000XNone listed

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility: A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with intellectual and/or developmental disabilities.

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About NPI 1386701613

Jackson Style Agency, LLC's National Provider Identifier is 1386701613, issued on Jan 3, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Grandview, MO. The record was last updated on Jul 10, 2007.