| Organization Name: | 1ST ACCESS, LLC |
| NPI Number: | 1104298876 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | DARRIAN JUJUAN GRAY (OWNER/ PRESIDENT) |
| Mailing Address: | 9504 E 63rd St Suite 214 Raytown |
| State: | MO US |
| Postal Code: | 641334948 |
| Phone Number: | 8165039865 |
| Fax Number: | 8165039408 |
| NPI Enumeration Date: | 10/21/2015 |
| NPI Last Update Date: | 10/21/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |