Healthcare Provider Details
I. General information
NPI: 1831485085
Provider Name (Legal Business Name): MANUZ HEALTH CARE SERVICES INC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 06/27/2011
Last Update Date: 07/31/2011
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
6301 ROCKHILL RD SUITE 105B
KANSAS CITY MO
64131-1124
US
IV. Provider business mailing address
6301 ROCKHILL RD SUITE 105B
KANSAS CITY MO
64131-1124
US
V. Phone/Fax
- Phone: 816-523-4023
- Fax: 816-523-4623
- Phone: 816-523-4023
- Fax: 816-523-4623
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 305R00000X |
| Taxonomy | Preferred Provider Organization |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 302R00000X |
| Taxonomy | Health Maintenance Organization |
| License Number | |
| License Number State | MO |
VIII. Authorized Official
Name: DR.
EMMANUEL
U
ONUZURUIKE
Title or Position: ADMINISTRATOR OWNER
Credential:
Phone: 816-523-4023