MEDICARE: ANGELEYES MATERNITY HOME

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	251V00000X	Voluntary or Charitable Agency

General Provider Information

NPI Number	:	1316450844
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANGELEYES MATERNITY HOME

Provider Business Mailing Address
First Line	:	6046 SWOPE PKWY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-4443
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	6046 SWOPE PKWY
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64130-4443
Country	:	US
Telephone Number	:	816-368-4994
Fax Number	:

Authorized Official
Title or Position	:	FOUNDER
Name	:	MARSHA HALL
Credential	:
Telephone Number	:	816-368-4994

Provider Enumeration Date	:	11/07/2017
Last Update Date	:	11/07/2017

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Directions to “ANGELEYES MATERNITY HOME ” Practice Location

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