26D2057917 CLIA NUMBER - ROCKHILL MANOR, INC

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Laboratory Demographics

CLIA Number: 26D2057917

Facility Name: ROCKHILL MANOR, INC

Facility Address:
MEDICATION/TREATMENT ROOM FIRST FLOOR, 4235 LOCUST
KANSAS CITY, MO
ZIP 64110
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Facility Phone Number: 816 931-2225

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1134284094

Taxonomy: 320800000X - Community Based Residential Treatment Facility, Mental Illness
A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

CLIA Record

Field Name	Field Value
CLIA Number	26D2057917
LAB Type	Assisted Living Facility
Facility Name	ROCKHILL MANOR, INC
Street	MEDICATION/TREATMENT ROOM FIRST FLOOR, 4235 LOCUST
City	KANSAS CITY
State	MO
ZIP	64110
Phone	816 931-2225
CertificateType	4
CertificateEffectiveDate	4/25/2023
CertificateExpirationDate	4/24/2025
FacilityType	Waiver

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This page was last updated on: 4/23/2024