MEDICARE: NEW MARK CARE CENTER, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	314000000X	Skilled Nursing Facility	034091	MO

General Provider Information

NPI Number	:	1215102843
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	NEW MARK CARE CENTER, INC

Provider Business Mailing Address
First Line	:	11221 N NASHUA DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-1159
Country	:	US
Telephone Number	:	816-734-4433
Fax Number	:	816-734-4026

Provider Business Practice Location Address
First Line	:	11221 N NASHUA DR
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64155-1159
Country	:	US
Telephone Number	:	816-734-4433
Fax Number	:	816-734-4026

Authorized Official
Title or Position	:	ASSISTANT TREASURER
Name	:	MR. CARY B HARKINS
Credential	:
Telephone Number	:	816-734-0533

Provider Enumeration Date	:	04/24/2008
Last Update Date	:	01/16/2009

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Directions to “NEW MARK CARE CENTER, INC ” Practice Location

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