| Organization Name: | SERC HAND OF CASS COUNTY L.L.C. |
| NPI Number: | 1205030699 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | SCOTT G. HARNDEN (OWNER, MANAGER, THERAPIST) |
| Mailing Address: | 17134 Bel Ray Pl Belton |
| State: | MO US |
| Postal Code: | 640125331 |
| Phone Number: | 8163180436 |
| Fax Number: | 8163180437 |
| NPI Enumeration Date: | 06/12/2007 |
| NPI Last Update Date: | 06/15/2009 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 332BC3200X |
| License Number: | 2006025819 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | MO |
| Taxonomy Type: | Suppliers |
| Taxonomy Classification: | Durable Medical Equipment & Medical Supplies |
| Taxonomy Specialization: | Customized Equipment |
| Taxonomy Definition: | |