Mulberry Street Tbi, LLC
In Home Supportive Care in Blue Springs, MO. Organization (NPI-2).
NPI number1851639645
StatusActive
Last updated in NPPESJan 29, 2013
Details
- NPI
- 1851639645
- Entity type
- Organization (NPI-2)
- Legal business name
- Mulberry Street Tbi, LLC
- Organization subpart
- Yes
- Enumeration date
- Jan 29, 2013
- Last updated
- Jan 29, 2013
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 253Z00000X | In Home Supportive Care | – | – | Yes |
Practice location
1517 Sw State Route 7Blue Springs, MO 64014-3944
Phone 816-224-2000 · Fax 816-224-2006
Mailing address
1517 Sw State Route 7Blue Springs, MO 64014-3944
Phone 816-224-2000 · Fax 816-224-2006
Authorized official
Joshua Aaron Mack
Co-Director
8162242000
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