Live and Growth Healthcare, LLC

NPI #1447749452 in Raytown, Missouri

Provider Information

NPI Number: 1447749452
Entity Type: Organization
Organization Name: Live and Growth Healthcare, LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: May 4, 2018
Last Updated: May 4, 2018

Practice Location

Address: 6308 EVANSTON AVE
City: Raytown
State: Missouri
ZIP Code: 64133-4930
Phone: (816) 215-0967

Authorized Official

Name: SHANNON WATKINS
Title: PRESIDENT
Phone: (816) 215-0967

Specialties & Taxonomy Codes

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

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