Organization
I-CARE RIDES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JOSHUA M JOHNSON (EXECUTIVE DIRECTOR)
(816) 344-4469
Entity
Organization
Contact information
Practice address
2902 RENICK ST, SAINT JOSEPH, MO 64507-1840
(816) 344-4469
(816) 364-0054
Mailing address
2902 RENICK ST, SAINT JOSEPH, MO 64507-1840
(816) 344-4469
(816) 364-0054
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347E00000X
Transportation Broker
—
—
Other
Enumeration date
10/23/2017
Last updated
05/06/2018
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