Healthcare Provider Details

I. General information

NPI: 1659304095
Provider Name (Legal Business Name): AB CARE, INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/09/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1500 W FOXWOOD DR
RAYMORE MO
64083-9372
US

IV. Provider business mailing address

PO BOX 6153
LEAWOOD KS
66206-0153
US

V. Phone/Fax

Practice location:
  • Phone: 913-649-1351
  • Fax:
Mailing address:
  • Phone: 913-649-1351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number26-4516
License Number StateMO

VIII. Authorized Official

Name: DR. RUTH ANNE SEABAUGH
Title or Position: OWNER
Credential: PT, DDS
Phone: 913-649-1351