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NPI Code Detail

MEDICARE: DEVELOPMENTAL DISABILITY SERVICES OF JACKSON COUNTY - EITAS

MEDICARE: DEVELOPMENTAL DISABILITY SERVICES OF JACKSON COUNTY - EITAS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1347B00000XBus

General Provider Information

NPI Number : 1205956810
Entity Type Code : Organization
Provider Name (Legal Business Name) : DEVELOPMENTAL DISABILITY SERVICES OF JACKSON COUNTY - EITAS
Provider Business Mailing Address
First Line : 8508 HILLCREST RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64138-2762
Country : US
Telephone Number : 816-363-2000
Fax Number : 816-363-1755
Provider Business Practice Location Address
First Line : 8508 HILLCREST RD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64138-2762
Country : US
Telephone Number : 816-363-2000
Fax Number : 816-363-1755
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : MR. EVERETT 'JAKE' JACOBS
Credential : MPA
Telephone Number : 816-363-2000
Provider Enumeration Date : 03/29/2007
Last Update Date : 03/04/2008

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Directions to “DEVELOPMENTAL DISABILITY SERVICES OF JACKSON COUNTY - EITAS ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.