Individual
MRS. ANITA RUCKER-BURNS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
9323 E 83RD ST, RAYTOWN, MO 64138-2044
(816) 356-3412
(816) 356-3412
Mailing address
9323 E 83RD ST, RAYTOWN, MO 64138-2044
(816) 356-3412
(816) 356-3412
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
—
—
385HR2055X
Child Mental Illness Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
—
—
Other
Enumeration date
08/16/2010
Last updated
08/16/2010
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