MEDICARE: HANNAH'S ADULT DAY HEALTH CARE CENTER, LLC

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	372600000X	Adult Companion

General Provider Information

NPI Number	:	1366007197
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HANNAH'S ADULT DAY HEALTH CARE CENTER, LLC

Provider Business Mailing Address
First Line	:	6412 E 87TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-2773
Country	:	US
Telephone Number	:	816-923-1114
Fax Number	:

Provider Business Practice Location Address
First Line	:	6412 E 87TH ST
Second Line	:
City	:	KANSAS CITY
State	:	MO
Zip	:	64138-2773
Country	:	US
Telephone Number	:	816-923-1114
Fax Number	:

Authorized Official
Title or Position	:	CENTER DIRECTOR
Name	:	MICHAEL MAURICE BYRD
Credential	:
Telephone Number	:	816-923-1114

Provider Enumeration Date	:	05/07/2019
Last Update Date	:	05/07/2019

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