NPI | 1275659062 |
---|---|
Former Legal Business Name | ABUNDANT CARE AGENCY |
Entity Type | Organization |
Authorized Contact | MARTHA ANN PAGE Director 816-246-5099 |
Organization Subpart ? | No |
Primary Taxonomy | 305R00000X Preferred Provider Organization |
Enumeration Date | 2007-03-22 |
Last Update Date | 2022-07-21 |