Holland Residential Services, Inc.

NPI #1427612134 in Grandview, Missouri

Provider Information

NPI Number: 1427612134
Entity Type: Organization
Organization Name: Holland Residential Services, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Apr 28, 2019
Last Updated: Apr 28, 2019

Practice Location

Address: 12510 JACKSON AVE
City: Grandview
State: Missouri
ZIP Code: 64030-1593
Phone: (816) 982-9481

Authorized Official

Name: MRS. SHAWANA JENKINS, MPA, MSW
Title: EXECUTIVE DIRECTOR
Phone: (816) 982-9481

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Private Vehicle	347C00000X
Respite Care - Respite Care, Intellectual and/or Developmental Disabilities, Child — Respite Care, Intellectual and/or Developmental Disabilities, Child	385HR2060X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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