Healthcare Provider Details
I. General information
NPI: 1093369985
Provider Name (Legal Business Name): ALL ABOUT YOU ADULT DAY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 07/29/2019
Last Update Date: 07/29/2019
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
7600 RAYTOWN RD STE 105
RAYTOWN MO
64138-1855
US
IV. Provider business mailing address
7600 RAYTOWN RD STE 206
RAYTOWN MO
64138-1855
US
V. Phone/Fax
- Phone: 816-260-9165
- Fax: 816-817-1953
- Phone: 816-260-9165
- Fax: 816-817-1956
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 261QA0600X |
| Taxonomy | Adult Day Care Clinic/Center |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
GENISE
E
BARTEE
Title or Position: OWNER
Credential:
Phone: 816-260-9165