Provider Demographics
NPI:1710348941
Name:EMMANUEL FAMILY & CHILD DEVELOPMENT CENTER AND EMERGENCY SHELTER FOR C
Entity Type:Organization
Organization Name:EMMANUEL FAMILY & CHILD DEVELOPMENT CENTER AND EMERGENCY SHELTER FOR C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DEBORAH
Authorized Official - Middle Name:LYNNE
Authorized Official - Last Name:MANN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-616-8886
Mailing Address - Street 1:2416 SWOPE PKWY
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64130-2639
Mailing Address - Country:US
Mailing Address - Phone:816-921-3164
Mailing Address - Fax:816-861-1270
Practice Address - Street 1:2416 SWOPE PKWY
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64130-2639
Practice Address - Country:US
Practice Address - Phone:816-921-3164
Practice Address - Fax:816-861-1270
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-03-16
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes252Y00000XAgenciesEarly Intervention Provider Agency