NPI | 1609030311 |
---|---|
Former Legal Business Name | SOUTHWEST BOULEVARD FAMILY HEALTH CARE OF GREATER KANSAS CITY, INC |
Former Legal Business Name | SHARON LEE FAMILY HEALTH CARE, INC |
Entity Type | Organization |
Authorized Contact | LISA HARVEY CEO 913-722-3100 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 207Q00000X Family Medicine (Licence: KS 4020303) |
Enumeration Date | 2008-07-11 |
Last Update Date | 2023-02-03 |