# THE WALL ASSOC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** The wall assoc
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578934113
- **Authorized official:** MAUREENA M SUMMERS BA SOC (ADMIN)
- **Authorized official phone:** (612) 730-3024

## Contact information

- **Practice address:** 845 EAST 78TH STREET, ANEX BLDG, KANSAS CITY, KS 64131
- **Practice address phone:** (612) 730-3024
- **Mailing address:** 845 E 78TH ST, ANNEX BLDG, KANSAS CITY, MO 64131-2096
- **Mailing address phone:** (612) 730-3024
- **Mailing address fax:** (913) 257-5428

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | Yes |

## Other

- **Enumeration date:** 10/08/2015
- **Last updated:** 10/08/2015