Provider Demographics
NPI:1043436421
Name:DELONNS RESIDENTIAL SERVICES
Entity Type:Organization
Organization Name:DELONNS RESIDENTIAL SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ANTOINETTE
Authorized Official - Middle Name:LENISE
Authorized Official - Last Name:ALEXANDER
Authorized Official - Suffix:
Authorized Official - Credentials:MSW BSM
Authorized Official - Phone:800-714-9138
Mailing Address - Street 1:2300 MAIN ST STE 900
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64108-2408
Mailing Address - Country:US
Mailing Address - Phone:800-714-9138
Mailing Address - Fax:800-714-9138
Practice Address - Street 1:2300 MAIN ST STE 900
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64108-2408
Practice Address - Country:US
Practice Address - Phone:800-714-9138
Practice Address - Fax:800-714-9138
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-17
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251C00000XAgenciesDay Training, Developmentally Disabled Services