Organization · Type 2 NPI

Mulberry Street LLC

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

NPI number 1902099013 Active

Practice location

1519 SW State Route 7
Blue Springs, MO 64014-3944

Call (816) 224-2000 Map

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 1902099013

Mulberry Street LLC's National Provider Identifier is 1902099013, issued on Aug 22, 2007. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (320900000X), and the practice location is in Blue Springs, MO. The record was last updated on Jan 7, 2013.