Provider Demographics
NPI:1407032311
Name:GREATER KANSAS CITY FOUNDATION FOR CITIZENS W/DISABILITIES
Entity Type:Organization
Organization Name:GREATER KANSAS CITY FOUNDATION FOR CITIZENS W/DISABILITIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXCUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:SHARON
Authorized Official - Middle Name:
Authorized Official - Last Name:TIGNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-931-4694
Mailing Address - Street 1:4111 E 100TH TER
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-1403
Mailing Address - Country:US
Mailing Address - Phone:816-931-4694
Mailing Address - Fax:816-931-3455
Practice Address - Street 1:4111 E 100TH TER
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-1403
Practice Address - Country:US
Practice Address - Phone:816-931-4694
Practice Address - Fax:816-931-3455
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-10
Last Update Date:2008-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO320600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities