IndividualActive
Cheree Corderman
NPI 1669030086 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Saint Joseph, MO
Provider details
- NPI number
- 1669030086
- Entity type
- Individual
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Sex
- Female
- Sole proprietor
- Yes
Specialties & taxonomies
Residential Treatment Facilities
Practice location
1606 S 38th St
Saint Joseph, MO 64507-2216
Phone: (816) 390-8941
Fax: (816) 279-7728
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 8162
Saint Joseph, MO 64508-8162
Registry dates
- Enumerated
- 2019-05-31
- Last updated
- 2019-05-31
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.