Home Away From Home Healthcare Facility

NPI #1124233770 in Grandview, Missouri

Provider Information

NPI Number: 1124233770
Entity Type: Organization
Organization Name: Home Away From Home Healthcare Facility
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 14, 2007
Last Updated: Feb 28, 2008

Practice Location

Address: 13323 CRYSTAL AVE
City: Grandview
State: Missouri
ZIP Code: 64030-3338
Phone: (816) 525-2470

Authorized Official

Name: MRS. ANGELINA MARIE REYNOLDS
Title: CO-OWNER
Phone: (816) 525-2470

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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