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Organization

INITY CCPRX HOME CARE LLC

Active
Other names
Nia F Becker RN-BSN
Organization subpart
No

Provider details

NPI number
Authorized official
FRANCES (NIA) EVELYN BECKER R.N.B.S.N.C.M.O.E. (OWNER/ADMINISTRATOR)
(816) 617-1398
Entity
Organization

Contact information

Practice address
8930 EVANSTON AVE, KANSAS CITY, MO 64138-4732
(816) 617-1398
(816) 832-8236
Mailing address
8930 EVANSTON AVE, KANSAS CITY, MO 64138-4732
(816) 617-1398
(816) 832-8236

Taxonomy

Speciality
Code
Description
License number
State
163WC0400X
Case Management Registered Nurse
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary

Other

Enumeration date
10/02/2018
Last updated
09/26/2023
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