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Organization
THE WALL ASSOC.
Active
Organization
THE WALL ASSOC.
Active
Other names
The wall assoc
Organization subpart
No
Provider details
NPI number
Authorized official
MAUREENA M SUMMERS BA SOC (ADMIN)
(612) 730-3024
Entity
Organization
Contact information
Practice address
845 EAST 78TH STREET, ANEX BLDG, KANSAS CITY, KS 64131
(612) 730-3024
Mailing address
845 E 78TH ST, ANNEX BLDG, KANSAS CITY, MO 64131-2096
(612) 730-3024
(913) 257-5428
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
NULL
Other
Enumeration date
10/08/2015
Last updated
10/08/2015
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