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Contact Information

WILDWOOD COTTAGE
11212 E 71ST ST
RAYTOWN, MO64133-6801
 Phone: 816-353-5274
 Fax: 816-353-1226
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Intellectual & Developmental Disabilities

103TM1800X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for WILDWOOD COTTAGE

NPI # 1770757841
LBN Legal business name WILDWOOD COTTAGE
Authorized official VIRGINIA MORGAN - (ADMINISTRATOR-OWNER)
Entity Organization
Organization subpart 1 Yes
Enumeration date 04/18/2008
Last updated 04/20/2008 - About 18 years ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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