Healthcare Provider Details

I. General information

NPI: 1962311266
Provider Name (Legal Business Name): PATRICIA LYNN HOWE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/02/2026
Last Update Date: 09/02/2026
Certification Date: 09/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11387 PETTIS RD
ORRICK MO
64077-8134
US

IV. Provider business mailing address

11387 PETTIS RD
ORRICK MO
64077-8134
US

V. Phone/Fax

Practice location:
  • Phone: 816-833-9516
  • Fax:
Mailing address:
  • Phone: 816-833-9516
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number320900000X
License Number StateMO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: