Organization
PLAZA MANOR, INC
Active
Other names
The Plaza Rehabilitation & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (PRESIDENT, CEO)
(816) 444-0900
Entity
Organization
Contact information
Practice address
4330 WASHINGTON ST, KANSAS CITY, MO 64111-3340
(816) 753-6800
(816) 931-5528
Mailing address
4330 WASHINGTON ST, KANSAS CITY, MO 64111-3340
(816) 753-6800
(816) 931-5528
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
027102
MO
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
027102
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101860302
—
MO
Enumeration date
07/22/2005
Last updated
01/16/2014
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