| NPI | 1770859324 |
|---|---|
| Former Legal Business Name | OUR HOUSE OF KC, INC. |
| Entity Type | Organization |
| Authorized Contact | MAYLON D WILLIAMS Provider/Administrator 816-737-8628 |
| Organization Subpart ? | No |
| Primary Taxonomy | 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities (Licence: MO wc1-0190-1211) |
| Additional Taxonomies | 251C00000X Day Training, Developmentally Disabled Services (Licence: MO WC1-0190-1211) |
| Enumeration Date | 2012-03-28 |
| Last Update Date | 2012-04-04 |