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Organization
MULBERRY STREET TBI, LLC
Active
Organization
MULBERRY STREET TBI, LLC
Active
Parent organization
MULBERRY STREET
Organization subpart
Yes
Provider details
NPI number
Legal business name
MULBERRY STREET
Authorized official
MR. JOSHUA AARON MACK (CO-DIRECTOR)
(816) 224-2000
Entity
Organization
Contact information
Practice address
1517 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014-3944
(816) 224-2000
(816) 224-2006
Mailing address
1517 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014-3944
(816) 224-2000
(816) 224-2006
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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