IndividualActive
Latundra Butler
NPI 1104013754 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Overland Park, KS
Provider details
- NPI number
- 1104013754
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 10063429 (MO)
Mailing address
1415 Ne Amanda Jean Way
Grain Valley, MO 64029-7838
Registry dates
- Enumerated
- 2007-09-27
- Last updated
- 2012-07-18
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.