Jays Residential, LLC - Grandview II

NPI #1225227515 in Grandview, Missouri

Provider Information

NPI Number: 1225227515
Entity Type: Organization
Organization Name: Jays Residential, LLC - Grandview II
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Oct 23, 2007
Last Updated: Oct 23, 2007

Practice Location

Address: 12731 RICHMOND AVE
City: Grandview
State: Missouri
ZIP Code: 64030-2160
Phone: (816) 456-6461

Authorized Official

Name: JASON L RUDOLPH
Title: DIRECTOR
Phone: (816) 456-6461

Specialties & Taxonomy Codes

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

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