Alyce D. Clark
Alyce D. Clark is an Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility in Kansas City, Missouri. Licensed in Missouri. Registered with an NPI since 2007.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
10640 Holmes RdKansas City, MO 64131-3404
Phone: (816) 943-1300
Fax: (816) 942-7443
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Specialties & licences
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility (primary) | Taxonomy 320900000X · Licence 856274402 (MO) |
|---|
Record details
| NPI number | 1649398769 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Alyce Clark — Owner · (816) 943-1300 |
| Other names | Shepherd'S Lane |
| NPI enumerated | March 27, 2007 |
| Last updated in NPPES | July 29, 2008 |
| Mailing address | 10640 Holmes Rd, Kansas City, MO 64131-3404 |
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