Bracken Homes

NPI #1265654628 in Belton, Missouri

Provider Information

NPI Number: 1265654628
Entity Type: Organization
Organization Name: Bracken Homes
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 3, 2007
Last Updated: Aug 22, 2020

Practice Location

Address: 8108 BEL RAY DR
City: Belton
State: Missouri
ZIP Code: 64012
Phone: (816) 507-8997

Authorized Official

Name: MS. GAIL LYNNE RUDOLPH
Title: SUPRV QMRP
Phone: (816) 507-8997

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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