MEDICARE: LEGAL FRIEND SERVICE & OUTREACH

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
1	251B00000X	Case Management Agency		KS

General Provider Information

NPI Number	:	1811308547
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEGAL FRIEND SERVICE & OUTREACH

Provider Business Mailing Address
First Line	:	2402 NEBRASKA CT
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-2608
Country	:	US
Telephone Number	:	913-205-0994
Fax Number	:

Provider Business Practice Location Address
First Line	:	2402 NEBRASKA CT
Second Line	:
City	:	KANSAS CITY
State	:	KS
Zip	:	66102-2608
Country	:	US
Telephone Number	:	913-205-0994
Fax Number	:

Authorized Official
Title or Position	:	LEAD PARALEGAL MEDIATOR
Name	:	DARCHELL ROSS SLOAN
Credential	:	PA
Telephone Number	:	913-205-0994

Provider Enumeration Date	:	05/15/2014
Last Update Date	:	05/15/2014

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