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NPI Code Detail

MEDICARE: URBAN CORE RENTAL SERVICES

MEDICARE: URBAN CORE RENTAL SERVICES
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
1320800000XMental Illness Community Based Residential Treatment Facility
2347C00000XPrivate Vehicle
3320900000XIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

General Provider Information

NPI Number : 1376784033
Entity Type Code : Organization
Provider Name (Legal Business Name) : URBAN CORE RENTAL SERVICES
Provider Business Mailing Address
First Line : 1810 E 48TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2504
Country : US
Telephone Number : 816-694-0733
Fax Number :
Provider Business Practice Location Address
First Line : 1810 E 48TH TER
Second Line :
City : KANSAS CITY
State : MO
Zip : 64130-2504
Country : US
Telephone Number : 816-694-0733
Fax Number :
Authorized Official
Title or Position : PRESIDENT/CEO
Name : MRS. MARCIA LYNN BROWN HIGGS
Credential :
Telephone Number : 816-694-0733
Provider Enumeration Date : 03/10/2009
Last Update Date : 03/10/2009

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Directions to “URBAN CORE RENTAL SERVICES ” Practice Location

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