Organization Name: | RAYMORE CARE CENTER LLC |
NPI Number: | 1972694271 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MELVIN L DUNSWORTH (OWNER/PRESIDENT) |
Mailing Address: | 600 E Sunrise Dr Raymore |
State: | MO US |
Postal Code: | 640839037 |
Phone Number: | 8163221991 |
Fax Number: | 8163224810 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 310400000X |
License Number: | 031724 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | MO |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Assisted Living Facility |
Taxonomy Specialization: | |
Taxonomy Definition: | A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |