Provider Demographics
NPI:1447388210
Name:SARITA'LYNNE MINISTRIES
Entity type:Organization
Organization Name:SARITA'LYNNE MINISTRIES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:GRAHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-561-0035
Mailing Address - Street 1:207 W LINWOOD BLVD # 23
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64111-1327
Mailing Address - Country:US
Mailing Address - Phone:816-561-0035
Mailing Address - Fax:816-531-0583
Practice Address - Street 1:207 W LINWOOD BLVD # 23
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64111-1327
Practice Address - Country:US
Practice Address - Phone:816-561-0035
Practice Address - Fax:816-531-0583
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes324500000XResidential Treatment FacilitiesSubstance Abuse Rehabilitation Facility
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO=========00OtherSAM II VENDOR CODE