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NPI Code Detail

MEDICARE: TPC ADULT DAY CENTER

MEDICARE: TPC ADULT DAY CENTER
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
1311ZA0620XAdult Care Home Facility

General Provider Information

NPI Number : 1558766071
Entity Type Code : Organization
Provider Name (Legal Business Name) : TPC ADULT DAY CENTER
Provider Business Mailing Address
First Line : 9408 BLUE RIDGE BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64138-3846
Country : US
Telephone Number : 816-204-0402
Fax Number :
Provider Business Practice Location Address
First Line : 9408 BLUE RIDGE BLVD
Second Line :
City : KANSAS CITY
State : MO
Zip : 64138-3846
Country : US
Telephone Number : 816-204-0402
Fax Number :
Authorized Official
Title or Position : DIRECTOR
Name : WINNIE B JONES
Credential :
Telephone Number : 816-204-0402
Provider Enumeration Date : 10/27/2014
Last Update Date : 10/29/2014

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Directions to “TPC ADULT DAY CENTER ” Practice Location

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