Organization
SERC HAND OF CASS COUNTY L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT G. HARNDEN OTR-L, CHT (OWNER, MANAGER, THERAPIST)
(816) 318-0436
Entity
Organization
Contact information
Practice address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 318-0436
(816) 318-0437
Mailing address
17134 BEL RAY PL, BELTON, MO 64012-5331
(816) 318-0436
(816) 318-0437
Taxonomy
Speciality
Code
Description
License number
State
332BC3200X
Customized Equipment (DME)
Primary
2006025819
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38514011
BKCS
MO
Enumeration date
06/12/2007
Last updated
06/15/2009
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