Organization · Type 2 NPI
Northstar Residential Care, Inc.
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility · Independence, MO
Practice location
18208 E 27th St S
Independence, MO 64057-1506
Fax (816) 795-0163
Mailing address
18805 Hanthorne Dr
Independence, MO 64057-1676
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary | 320900000X | None 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 1659490704
Northstar Residential Care, Inc.'s National Provider Identifier is 1659490704, issued on Mar 28, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Independence, MO. The record was last updated on Aug 22, 2020.