DOMINICKS GROUP HOME LLC

LEES SUMMIT, MO
NPI1437319530
Entity TypeOrganization
Authorized ContactPHYLLIS ANN GREEN
Administrator/Director
816-623-3403
Organization Subpart ?No
Primary Taxonomy251C00000X Day Training, Developmentally Disabled Services
(Licence: MO  N00856212)
Enumeration Date2008-06-11
Last Update Date2008-06-11
Business Address
DOMINICKS GROUP HOME LLC
1112 SW WHISTLE DR
LEES SUMMIT, MO 64082-4876
Phone number: 816-623-3403
Mailing Address
DOMINICKS GROUP HOME LLC
1112 SW WHISTLE DR
LEES SUMMIT, MO 64082-4876
Phone number: 816-623-3403