NPI: 1790946549
Provider Name: STROETKER DIVERSIVIED INC
Doing Business As: MAYWOOD MANOR
Classification: Assisted Living Facility - 3104A0625X
Entity Type: Organization
Specialization: Assisted Living, Mental Illness
Address:
1041 W TRUMAN RD
INDEPENDENCE, MO
ZIP 64050
Phone: (816) 254-6789
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STROETKER DIVERSIVIED INC is an assisted living and mental illness assisted living facility in Independence, MO. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. STROETKER DIVERSIVIED INC NPI is 1790946549. The provider is registered as an organization entity type.
The provider Is Doing Business As Maywood Manor.
The provider's business location address is:
1041 W TRUMAN RD
INDEPENDENCE, MO
ZIP 64050-447
Phone: (816) 254-6789
The provider's authorized official is John Herman Stroetker .
The authorized official title is President and has the following contact phone number (816) 254-6789.
The enumeration date for this NPI number is 6/24/2008 and was last updated on 6/24/2008.