STATE OF MISSOURI is a community based residential treatment facility, intellectual and/or developmental disabilities in Kansas City, 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. STATE OF MISSOURI NPI is 1386843621. The provider is registered as an organization entity type.
The provider Is Doing Business As Lakeland Group Home.
The provider's business location address is:
15555 LITTLE BLUE RD
KANSAS CITY, MO
ZIP 64139
Phone: (816) 512-7515
Fax: (816) 512-7517
The provider's authorized official is Molly Jane Boeckmann .
The authorized official title is Director Of Administrative Services and has the following contact phone number (573) 751-4055.
The enumeration date for this NPI number is 7/17/2007 and was last updated on 8/28/2020.