Organization
THE NATURAL CLEAN
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LAZELL E OFIELD II (PRESIDENT/OWNER)
(816) 721-3316
Entity
Organization
Contact information
Practice address
7212 JACKSON AVE, KANSAS CITY, MO 64132-2031
(816) 721-3316
Mailing address
7212 JACKSON AVE, KANSAS CITY, MO 64132-2031
(816) 721-3316
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/15/2012
Last updated
10/15/2012
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