NPI | 1699775189 |
---|---|
Entity Type | Organization |
Authorized Contact | JOSEPH C TUTERA Manager 816-444-0900 |
Organization Subpart ? | No |
Primary Taxonomy | 314000000X Skilled Nursing Facility (Licence: LA 198) |
Additional Taxonomies | 335E00000X Prosthetic/Orthotic Supplier (Licence: LA 198) |
Enumeration Date | 2005-07-26 |
Last Update Date | 2024-04-19 |