Healthcare Provider Details

I. General information

NPI: 1073661518
Provider Name (Legal Business Name): ENJOY LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1900 N COMMERCIAL ST
HARRISONVILLE MO
64701-1253
US

IV. Provider business mailing address

23901 E 267TH ST
HARRISONVILLE MO
64701-3266
US

V. Phone/Fax

Practice location:
  • Phone: 816-590-9662
  • Fax: 816-884-3338
Mailing address:
  • Phone: 816-590-9662
  • Fax: 816-884-3338

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MS. DEBI A DEGRAEVE
Title or Position: OFFICE MANAGER
Credential: CPED
Phone: 816-590-9662