Organization
BLESSED HOMES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MUSUDEEN ANGEL HARRELL (EXECUTIVE DIRECTOR)
(816) 523-1258
Entity
Organization
Contact information
Practice address
305 E 63RD ST, KANSAS CITY, MO 64113-2225
(816) 523-1258
(816) 756-0443
Mailing address
305 E 63RD ST, KANSAS CITY, MO 64113-2225
(816) 523-1258
(816) 756-0443
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
039141
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
039141
—
MO
Enumeration date
05/25/2011
Last updated
05/25/2011
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