Lasting Impressions Mo LLC

NPI #1992514855 in Sedalia, Missouri

Provider Information

NPI Number: 1992514855
Entity Type: Organization
Organization Name: Lasting Impressions Mo LLC
Primary Specialty: Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Jan 6, 2025
Last Updated: Jan 6, 2025

Practice Location

Address: 520 S LAMINE AVE
City: Sedalia
State: Missouri
ZIP Code: 65301-4534
Phone: (660) 951-1026

Authorized Official

Name: KEEGAN MICAH WASSAM
Title: DIRECTOR
Phone: (660) 951-1026

Specialties & Taxonomy Codes

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

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