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NPI Code Detail

MEDICARE: MYERSNURSINGHOME

MEDICARE: MYERSNURSINGHOME
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
1313M00000XNursing Facility/Intermediate Care Facility031488MO

General Provider Information

NPI Number : 1235127630
Entity Type Code : Organization
Provider Name (Legal Business Name) : MYERSNURSINGHOME
Provider Business Mailing Address
First Line : 2315 WALROND AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64127-4210
Country : US
Telephone Number : 816-231-3180
Fax Number : 816-231-5941
Provider Business Practice Location Address
First Line : 2315 WALROND AVE
Second Line :
City : KANSAS CITY
State : MO
Zip : 64127-4210
Country : US
Telephone Number : 816-231-3180
Fax Number : 816-231-5941
Authorized Official
Title or Position : ADMINISTRATOR
Name : MS. DOREEN ELIZABETH CRUTCHFIELD
Credential :
Telephone Number : 816-231-3180
Provider Enumeration Date : 10/10/2005
Last Update Date : 08/22/2020

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Directions to “MYERSNURSINGHOME ” Practice Location

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