Organization Name: | ADULT CARE HEALTH CENTER OF GREATER KANSAS CITY |
NPI Number: | 1598956906 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | AISHA LADI WASHINGTON (EXECUTIVE DIRECTOR) |
Mailing Address: | 414 Remington Plaza Ct Raymore |
State: | MO US |
Postal Code: | 640838599 |
Phone Number: | 8167670925 |
Fax Number: | 8167611187 |
NPI Enumeration Date: | 08/09/2007 |
NPI Last Update Date: | 07/28/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QA0600X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Adult Day Care |
Taxonomy Definition: |