Beacon Specialized Living Missouri INC
NPI #1770340382 in Independence, Missouri
Provider Information
- NPI Number
- 1770340382
- Entity Type
- Organization
- Organization Name
- Beacon Specialized Living Missouri INC
- Primary Specialty
- Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
- Enumeration Date
- Feb 29, 2024
- Last Updated
- Nov 20, 2024
Practice Location
- Address
- 19401 E 40 HWY STE 100
- City
- Independence
- State
- Missouri
- ZIP Code
- 64055-5400
- Phone
- (417) 689-3302
Authorized Official
- Name
- MR. FRANCIS JOE TREBBE III, LCSW
- Title
- VICE PRESIDENT OF OPERATIONS
- Phone
- (417) 689-3302
Specialties & Taxonomy Codes
| Specialty |
|---|
| Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |
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