Individual provider · Type 1 NPI

Loria Faye Butler

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

NPI number 1922501766 Active

Practice location

4518 Cypress Ave
Kansas City, MO 64130-2164

Specialties and licenses

Taxonomy	Code	License
Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary	320600000X	WL-1004-INIT (MO)

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 1922501766

Loria Faye Butler's National Provider Identifier is 1922501766, issued on Mar 16, 2018. The primary taxonomy on file is Intellectual and/or Developmental Disabilities Residential Treatment Facility (320600000X), and the practice location is in Kansas City, MO. The record was last updated on Mar 16, 2018.