Organization · Type 2 NPI

Alyce D. Clark

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

NPI number 1649398769 Active

Practice location

10640 Holmes Road
Kansas City, MO 64131-3404

Call (816) 943-1300 Map

Fax (816) 942-7443

Mailing address

10640 Holmes Rd
Kansas City, MO 64131-3404

Specialties and licenses

TaxonomyCodeLicense
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary 320900000X856274402 (MO)

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 1649398769

Alyce D. Clark's National Provider Identifier is 1649398769, issued on Mar 27, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Kansas City, MO. The record was last updated on Jul 29, 2008.