Organization Name: | SENIORBRIDGE FAMILY COMPANIES (MO), INC. |
NPI Number: | 1821432345 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ERIC RACKOW (PRESIDENT AND CEO) |
Mailing Address: | 7304 W. 130th Street Suite 100 Overland Park |
State: | KS US |
Postal Code: | 66213 |
Phone Number: | 9133906300 |
Fax Number: | |
NPI Enumeration Date: | 04/26/2013 |
NPI Last Update Date: | 04/26/2013 |
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 |