Organization Name: | CROSSROADS HOSPICE OF KANSAS CITY |
NPI Number: | 1427093988 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | CLAYTON LEE FARMER (SECRETARY) |
Mailing Address: | 14310 E 42nd St S Unit 600 Independence |
State: | MO US |
Postal Code: | 640557308 |
Phone Number: | 8163339200 |
Fax Number: | 8163339444 |
NPI Enumeration Date: | 06/18/2006 |
NPI Last Update Date: | 11/13/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 251G00000X |
License Number: | 056-8HO |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Agencies |
Taxonomy Classification: | Hospice Care, Community Based |
Taxonomy Specialization: | |
Taxonomy Definition: |