Forward Living LLC

Organization Active NPI Developmentally Disabled Services Day Training Agency · Grandview, MO

NPI 1154511699 · NPPES record last updated Jul 31, 2007

Key facts

NPI
1154511699
Entity type
Organization (NPI type 2)
Primary specialty
Developmentally Disabled Services Day Training Agency 251C00000X
Legal business name
FORWARD LIVING LLC
Practice address
13107 Herrick Ave
Grandview, MO 64030-3548
Phone
(816) 820-4231
NPI assigned
Jul 31, 2007
Organization subpart
No

Authorized official

Name
Mr. Eric Laron Baston
Title
Executive Director
Phone
(816) 820-4231

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Forward Living Inc (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X Yes

Addresses

Primary practice location

13107 Herrick Ave
Grandview, MO 64030-3548

Mailing address

13107 Herrick Ave
Grandview, MO 64030-3548
Phone (816) 820-4231

Other providers in Grandview, MO

All providers in Grandview, MO · Developmentally Disabled Services Day Training Agency in Missouri

Sources for this page

Verify at the official NPI Registry.