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NPI 1861984486

NPI 1861984486 : INTEGRAL HEALTH CARE SERVICES, INC. : GRANDVIEW, MO

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General NPI Number Information
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    NPI Number           |    1861984486
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    Entity Type          |    Organization 
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    Legal Business Name  |    INTEGRAL HEALTH CARE SERVICES, INC. 
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Dates
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    Enumeration Date     |    05/30/2018
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    Last Update Date     |    05/30/2018
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Provider Practice Location Address
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    Address Line         |    6609 E 123RD TER 
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    City                 |    GRANDVIEW
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    State                |    MO
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    Zip                  |    64030-1801
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    Country              |    US
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    Telephone            |    816-529-3182
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    Fax                  |    
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Provider Business Mailing Address
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    Address Line         |    PO BOX 1007 
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    City                 |    GRANDVIEW
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    State                |    MO
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    Zip                  |    64030-1007
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    Country              |    US
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    Telephone            |    816-599-7643
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    Fax                  |    
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Authorized Official
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    Title or Position    |    OWNER
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    Name                 |    MRS. ROBBIE A GILES 
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    Credential           |    
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    Telephone            |    816-529-3182
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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    Taxonomy Code        |    251E00000X
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    Taxonomy Name        |    Home Health Agency
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    License Number       |    
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    License Number State |    
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