1649398769 ALYCE D. CLARK

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Active

Basic Information

Organization Name
ALYCE D. CLARK
Enumeration Date
March 27, 2007
Last Update
July 29, 2008
Authorized Official
MRS. ALYCE DENISE CLARK RN, BSN
OWNER
Phone: (816) 943-1300

Practice Location

Address
10640 HOLMES ROAD
KANSAS CITY, MO 641313404
Phone
(816) 943-1300
Fax
(816) 942-7443

Mailing Address

Address
10640 HOLMES RD
KANSAS CITY, MO 641313404
Phone
(816) 943-1300
Fax
(816) 942-7443

Specialties & Taxonomies

Specialty Code Classification License State Primary
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities 856274402 MO Primary

Other Identifiers

Identifier Type State Issuer
8002103 01 MO DMH VENDOR NUMBER
856274402 05 MO N/A

Frequently Asked Questions

What is ALYCE D. CLARK's NPI number?
ALYCE D. CLARK's NPI number is 1649398769.
Which doctor has NPI number 1649398769?
The doctor with NPI number 1649398769 is ALYCE D. CLARK.
What is ALYCE D. CLARK's practice address?
ALYCE D. CLARK's practice address is 10640 HOLMES ROAD, KANSAS CITY, MO, 641313404.
Which doctor practices at 10640 HOLMES ROAD, KANSAS CITY, MO, 641313404?
ALYCE D. CLARK practices at 10640 HOLMES ROAD, KANSAS CITY, MO, 641313404.
What is ALYCE D. CLARK's mailing address?
ALYCE D. CLARK's mailing address is 10640 HOLMES RD, KANSAS CITY, MO, 641313404.
What is ALYCE D. CLARK's phone number?
ALYCE D. CLARK's phone number is (816) 943-1300.
Who is (816) 943-1300?
(816) 943-1300 is the phone number for ALYCE D. CLARK.
What is ALYCE D. CLARK's specialty?
ALYCE D. CLARK's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is ALYCE D. CLARK?
ALYCE D. CLARK is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is ALYCE D. CLARK a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, ALYCE D. CLARK is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is ALYCE D. CLARK still practicing?
Yes, ALYCE D. CLARK is currently practicing.
Is ALYCE D. CLARK accepting new patients?
ALYCE D. CLARK may be accepting new patients. Please call their office at (816) 943-1300 to inquire about availability.
Is NPI 1649398769 still active?
Yes, NPI 1649398769 is currently active.
Where does ALYCE D. CLARK practice?
ALYCE D. CLARK practices in KANSAS CITY, MO.