Stroetker Diversivied INC

NPI #1790946549 in Independence, Missouri

Provider Information

NPI Number: 1790946549
Entity Type: Organization
Organization Name: Stroetker Diversivied INC
Primary Specialty: Assisted Living Facility - Assisted Living, Mental Illness
Enumeration Date: Jun 24, 2008
Last Updated: Jun 24, 2008

Practice Location

Address: 1041 W TRUMAN RD
City: Independence
State: Missouri
ZIP Code: 64050-3447
Phone: (816) 254-6789

Authorized Official

Name: JOHN HERMAN STROETKER
Title: PRESIDENT
Phone: (816) 254-6789

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Assisted Living Facility - Assisted Living, Mental Illness — Assisted Living, Mental Illness	3104A0625X	Primary

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