Barry Dean Lyon
Barry Dean Lyon is an Intellectual and/or Developmental Disabilities Residential Treatment Facility in Grain Valley, Missouri. Practices as a sole proprietor. Licensed in Missouri.
- Licensed in
- MO
- In the registry since
- 2007
Practice location Address checks out
9001 S Litchford RdGrain Valley, MO 64029-8115
Phone: (816) 220-3807
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Specialties & licences
| Intellectual and/or Developmental Disabilities Residential Treatment Facility (primary) | Taxonomy 320600000X · Licence 7303173 (MO) |
|---|
Record details
| NPI number | 1326161407 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | April 6, 2007 |
| Last updated in NPPES | July 8, 2007 |
| Mailing address | 9001 S Litchford Rd, Grain Valley, MO 64029-8115 |
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