Organization
BE WELL THERAPEUTIC INNOVATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANGELA LABRIE BLACKWELL PHD, OTR/L (OWNER)
(816) 582-4181
Entity
Organization
Contact information
Practice address
6320 BROOKSIDE PLZ, UNIT 148, KANSAS CITY, MO 64113-1709
(901) 907-9491
Mailing address
6320 BROOKSIDE PLZ, UNIT 148, KANSAS CITY, MO 64113-1709
(901) 907-9491
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
2011000123
MO
Other
Enumeration date
06/06/2016
Last updated
06/06/2016
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