| NPI | 1154510121 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | FARDOSO MOHAMUD JAMA Owner/President 816-283-3200 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health (Licence: MO 00846227) |
| Additional Taxonomies | 251B00000X Case Management |
| 251S00000X Community/Behavioral Health | |
| Enumeration Date | 2007-10-16 |
| Last Update Date | 2022-07-29 |