| NPI | 1801635396 |
|---|---|
| Former Legal Business Name | CLASSIC CARE IN-HOME HEALTH SERVICE |
| Entity Type | Organization |
| Authorized Contact | TIAUNNA SHAWNTWONE' JILES President/Owner 816-651-7409 |
| Organization Subpart ? | No |
| Primary Taxonomy | 251E00000X Home Health |
| Enumeration Date | 2024-05-23 |
| Last Update Date | 2024-05-23 |