Organization
GRAFFITI CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYTEILA M ROACH (OWNER)
(228) 265-0331
Entity
Organization
Contact information
Practice address
630 ELMWOOD AVE, KANSAS CITY, MO 64124-2920
(228) 265-0331
Mailing address
3630 BEECH HILL DR, SPRING, TX 77388-5706
(228) 265-0331
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
11/21/2024
Last updated
11/21/2024
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