Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
JOSHUA WALTER
Active Sole ProprietorIntellectual Disabilities Residential Treatment Facility · INDEPENDENCE, MO
Registration Details
- NPI Number
- 1295967628
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Aug 18, 2009 (16.675836740984 yrs)
- Last Updated
- Aug 18, 2009
- Sole Proprietor
- Yes
Practice Information
- Address
-
2302 S CEDAR AVEINDEPENDENCE, MO, 640521653Browse MO providers · Browse ZIP 64052
- Phone
- 8167190104
- Primary Specialty
-
Intellectual Disabilities Residential Treatment Facility
320600000X
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.