| NPI | 1700457850 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA M JACKSON CEO 816-382-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 207Q00000X Family Medicine |
| Additional Taxonomies | 302R00000X Health Maintenance Organization |
| 314000000X Skilled Nursing Facility | |
| 251J00000X Nursing Care | |
| 261QH0100X Clinic/Center, Health Services | |
| 320900000X Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2021-07-08 |