JACKSON STYLE AGENCY, LLC is a community based residential treatment facility, intellectual and/or developmental disabilities in Grandview, MO. The provider is a home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities. JACKSON STYLE AGENCY, LLC NPI is 1386701613. The provider is registered as an organization entity type.
The provider's business location address is:
213 BLUE RIDGE EXT
GRANDVIEW, MO
ZIP 64030-603
Phone: (816) 765-9990
Fax: (816) 765-9987
The provider's authorized official is Cleotha Jackson .
The authorized official title is Assistant Administrator and has the following contact phone number (816) 765-9990.
The enumeration date for this NPI number is 1/3/2007 and was last updated on 7/10/2007.