Jays Residential Isl

NPI #1285751826 in Grandview, Missouri

Provider Information

NPI Number: 1285751826
Entity Type: Organization
Organization Name: Jays Residential Isl
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 26, 2007
Last Updated: Aug 22, 2020

Practice Location

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

Authorized Official

Name: JASON LEE RUDOLPH, BS
Title: DIRECTOR
Phone: (816) 456-6461

Specialties & Taxonomy Codes

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

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