Organization
BLUE RIVER CARE CENTER, LLC
Active
Other names
Blue River Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY THURBER (CORPORATE ADMINISTRATOR)
(816) 763-4444
Entity
Organization
Contact information
Practice address
10425 CHESTNUT DR, KANSAS CITY, MO 64137-3201
(816) 763-4444
(816) 763-4777
Mailing address
10425 CHESTNUT DR, KANSAS CITY, MO 64137-3201
(816) 763-4444
(816) 763-4777
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030243
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
D08605687
DMERC MEDICARE SUBMITTER
MO
Enumeration date
07/28/2005
Last updated
08/22/2020
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