Organization
BOOMERS PERSONAL CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ABDIRASHID ABDULLAHI BASHIR (OWNER)
(816) 785-3638
Entity
Organization
Contact information
Practice address
1208 BROOKLYN AVE, KANSAS CITY, MO 64127-1912
(816) 785-3638
Mailing address
1208 BROOKLYN AVE, KANSAS CITY, MO 64127
(816) 785-3638
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
01/26/2016
Last updated
07/21/2022
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