| NPI | 1033383641 |
|---|---|
| Other Name | LS GROUP HOME |
| Entity Type | Organization |
| Authorized Contact | KELLY LYNNE TAULA Office Manager 816-257-7222 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities (Licence: MO 8000787) |
| Enumeration Date | 2008-04-15 |
| Last Update Date | 2008-04-15 |