Organization
GENTLE GUARDIAN SUPPORT SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NIMO ABDIKARIM SAHIL (PROGRAM DIRECTOR)
(816) 617-5167
Entity
Organization
Contact information
Practice address
3919 N CLEVELAND AVE, KANSAS CITY, MO 64117-2235
(816) 617-5167
Mailing address
3919 N CLEVELAND AVE, KANSAS CITY, MO 64117-2235
(816) 617-5167
Taxonomy
Speciality
Code
Description
License number
State
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Enumeration date
04/29/2025
Last updated
04/29/2025
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