Our House My House Kc, Inc.

NPI #1770859324 in Raytown, Missouri

Provider Information

NPI Number: 1770859324
Entity Type: Organization
Organization Name: Our House My House Kc, Inc.
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Mar 28, 2012
Last Updated: Apr 4, 2012

Practice Location

Address: 9406 E 63RD ST STE B
City: Raytown
State: Missouri
ZIP Code: 64133-4950
Phone: (816) 737-8628

Authorized Official

Name: MS. MAYLON D WILLIAMS
Title: PROVIDER/ADMINISTRATOR
Phone: (816) 737-8628

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Day Training, Developmentally Disabled Services	251C00000X
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320900000X	Primary

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