| NPI | 1669183075 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA CLARK Director 816-977-5341 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 251E00000X Home Health |
| Enumeration Date | 2022-12-06 |
| Last Update Date | 2024-01-29 |