Healthcare Provider Details

I. General information

NPI: 1881179448
Provider Name (Legal Business Name): ACCESSABLE LIVING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/30/2018
Last Update Date: 09/09/2020
Certification Date: 09/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1126 QUEENS PL
KANSAS CITY MO
64131-3264
US

IV. Provider business mailing address

1126 QUEENS PL
KANSAS CITY MO
64131-3264
US

V. Phone/Fax

Practice location:
  • Phone: 816-301-5170
  • Fax: 816-929-6321
Mailing address:
  • Phone: 816-301-5170
  • Fax: 816-929-6321

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number
License Number State

VIII. Authorized Official

Name: DR. BRANDY CHIVON ARCHIE
Title or Position: DIRECTOR
Credential: OTD, OTR/L
Phone: 816-301-5170