| NPI | 1770194565 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TAMIKA MARIE JACKSON Owner 816-382-9193 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Additional Taxonomies | 101Y00000X Counselor |
| 163W00000X Registered Nurse | |
| 174200000X Meals | |
| 251B00000X Case Management | |
| 251C00000X Day Training, Developmentally Disabled Services | |
| 251G00000X Hospice Care, Community Based | |
| 251J00000X Nursing Care | |
| 253Z00000X In Home Supportive Care | |
| 320600000X Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | |
| 385H00000X Respite Care | |
| Enumeration Date | 2020-08-13 |
| Last Update Date | 2021-07-09 |