Northstar Residential Care, Inc.
NPI #1659490704 in Independence, Missouri
Provider Information
- NPI Number
- 1659490704
- Entity Type
- Organization
- Organization Name
- Northstar Residential Care, Inc.
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Mar 28, 2007
- Last Updated
- Aug 22, 2020
Practice Location
- Address
- 18208 E 27TH ST S
- City
- Independence
- State
- Missouri
- ZIP Code
- 64057-1506
- Phone
- (816) 795-7652
Authorized Official
- Name
- MR. DAVID BRADLEY NORTH
- Title
- DIRECTOR
- Phone
- (816) 795-7652
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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