Organization
MIDWEST INNOVATIVE HEALTH INC
Active
Parent organization
MIDWEST INNOVATIVE HEALTH INC
Organization subpart
Yes
Provider details
NPI number
Legal business name
MIDWEST INNOVATIVE HEALTH INC
Authorized official
STACEY M DEISTER (MANAGER)
(816) 365-4070
Entity
Organization
Contact information
Practice address
409 SE DOUGLAS ST, LEES SUMMIT, MO 64063
(816) 578-4548
(816) 774-8132
Mailing address
99 Z ST, LAKE LOTAWANA, MO 64086-9769
(816) 578-4548
(816) 774-8132
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
—
—
Other
Enumeration date
07/31/2018
Last updated
08/08/2018
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