Organization
ADAMS ACTIVELY AGING INC.
Active
Other names
Actively Aging
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHARLES DAVID ADAMS (VP MANAGER)
(816) 671-0031
Entity
Organization
Contact information
Practice address
3145 SYLVANIE ST, SAINT JOSEPH, MO 64501-3322
(816) 671-0032
Mailing address
3145 SYLVANIE ST, SAINT JOSEPH, MO 64501-3322
(816) 671-0031
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
251C00000X
—
MO
05
—
251E00000X
—
MO
05
—
261QPO9O4X
—
MO
05
—
311ZAO62OX
—
MO
05
—
347C00000X
—
MO
05
—
372500000X
—
MO
05
—
372600000X
—
MO
05
—
3747P1801X
—
MO
05
—
374UOOOOOX
—
MO
05
—
376JOOOOOX
—
MO
05
—
376KOOOOOX
—
MO
Enumeration date
02/06/2007
Last updated
02/11/2009
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