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NPI Code Detail

MEDICARE: THE NATURAL CLEAN

MEDICARE: THE NATURAL CLEAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1114270147
Entity Type Code : Organization
Provider Name (Legal Business Name) : THE NATURAL CLEAN
Provider Business Mailing Address
First Line : 7212 JACKSON AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64132-2031
Country : US
Telephone Number : 816-721-3316
Fax Number :
Provider Business Practice Location Address
First Line : 7212 JACKSON AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64132-2031
Country : US
Telephone Number : 816-721-3316
Fax Number :
Authorized Official
Title or Position : PRESIDENT/OWNER
Name : MR. LAZELL E OFIELD II
Credential :
Telephone Number : 816-721-3316
Provider Enumeration Date : 10/15/2012
Last Update Date : 10/15/2012

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Directions to “THE NATURAL CLEAN ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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