Organization · NPI-2
Dignity Healthcare, LLC
Home Health · Independence, MO
NPI number1194938092
StatusActive
Last updated in NPPESAug 22, 2020
Details
- NPI
- 1194938092
- Entity type
- Organization (NPI-2)
- Legal business name
- Dignity Healthcare, LLC
- Organization subpart
- No
- Enumeration date
- May 7, 2007
- Last updated
- Aug 22, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 251E00000X | Home Health | 722792-0-095-0000 | MO | Yes |
Practice location
17201 East Us 40 HwySuite 205
Independence, MO 64055-6438
Phone 816-795-5534 · Fax 816-795-5526
Mailing address
17201 East U.S. 40 HwySuite 205
Independence, MO 64055-6438
Phone 816-795-5534 · Fax 816-795-5526
Authorized official
Marilyn Christine Bruursema
Director
8167955534
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