Organization
MANICURE NURSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KIMBERLY GRISWOLD (EXECUTIVE DIRECTOR)
(816) 313-2211
Entity
Organization
Contact information
Practice address
229 SE TOPAZ DR STE A, LEES SUMMIT, MO 64063-5138
(816) 313-2211
Mailing address
229 SE TOPAZ DR STE A, LEES SUMMIT, MO 64063-5138
(816) 313-2211
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
Primary
—
—
253Z00000X
In Home Supportive Care Agency
—
—
347C00000X
Private Vehicle
G203100009
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
4962
—
MO
Enumeration date
11/23/2012
Last updated
04/17/2025
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