Organization
JACOB'S WELL HOLISTIC SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. RENEE L. ROOSA APRN, FNP-BC, CHES (CEO)
(816) 916-5902
Entity
Organization
Contact information
Practice address
3200 STRONG AVE, KANSAS CITY, KS 66106-2116
(913) 262-0550
(913) 831-3048
Mailing address
2940 BALTIMORE AVE APT 1207, KANSAS CITY, MO 64108-3418
(816) 916-5902
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
11/09/2020
Last updated
11/09/2020
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