1386701613 JACKSON STYLE AGENCY, LLC
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Active
Basic Information
- Organization Name
- JACKSON STYLE AGENCY, LLC
- Enumeration Date
- January 3, 2007
- Last Update
- July 10, 2007
- Authorized Official
- MR. CLEOTHA JACKSON
ASSISTANT ADMINISTRATOR
Phone: (816) 765-9990
Practice Location
- Address
- 213 BLUE RIDGE EXT
GRANDVIEW, MO 640301603 - Phone
- (816) 765-9990
- Fax
- (816) 765-9987
Mailing Address
- Address
- 213 BLUE RIDGE EXT
GRANDVIEW, MO 640301603 - Phone
- (816) 765-9990
- Fax
- (816) 765-9987
Specialties & Taxonomies
| Specialty | Code | Classification | License | State | Primary |
|---|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | No |
| Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility | 320900000X | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | N/A | N/A | Primary |
Frequently Asked Questions
What is JACKSON STYLE AGENCY, LLC's NPI number?
JACKSON STYLE AGENCY, LLC's NPI number is 1386701613.
Which doctor has NPI number 1386701613?
The doctor with NPI number 1386701613 is JACKSON STYLE AGENCY, LLC.
What is JACKSON STYLE AGENCY, LLC's practice address?
JACKSON STYLE AGENCY, LLC's practice address is 213 BLUE RIDGE EXT, GRANDVIEW, MO, 640301603.
Which doctor practices at 213 BLUE RIDGE EXT, GRANDVIEW, MO, 640301603?
JACKSON STYLE AGENCY, LLC practices at 213 BLUE RIDGE EXT, GRANDVIEW, MO, 640301603.
What is JACKSON STYLE AGENCY, LLC's phone number?
JACKSON STYLE AGENCY, LLC's phone number is (816) 765-9990.
Who is (816) 765-9990?
(816) 765-9990 is the phone number for JACKSON STYLE AGENCY, LLC.
What is JACKSON STYLE AGENCY, LLC's specialty?
JACKSON STYLE AGENCY, LLC's specialty is Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
What type of doctor is JACKSON STYLE AGENCY, LLC?
JACKSON STYLE AGENCY, LLC is a Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility.
Is JACKSON STYLE AGENCY, LLC a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities?
Yes, JACKSON STYLE AGENCY, LLC is a Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities.
Is JACKSON STYLE AGENCY, LLC still practicing?
Yes, JACKSON STYLE AGENCY, LLC is currently practicing.
Is JACKSON STYLE AGENCY, LLC accepting new patients?
JACKSON STYLE AGENCY, LLC may be accepting new patients. Please call their office at (816) 765-9990 to inquire about availability.
Is NPI 1386701613 still active?
Yes, NPI 1386701613 is currently active.
Where does JACKSON STYLE AGENCY, LLC practice?
JACKSON STYLE AGENCY, LLC practices in GRANDVIEW, MO.