Organization
RWW HOME AND COMMUNITY REHAB SERVICES, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANGIE MATTINGLY (MANAGER PROVIDER ENROLLMENT)
(502) 630-7425
Entity
Organization
Contact information
Practice address
1950 DIAMOND PKWY STE 202, KANSAS CITY, MO 64116-4329
(816) 321-0311
Mailing address
805 N WHITTINGTON PKWY, LOUISVILLE, KY 40222-7101
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
03/22/2022
Last updated
03/22/2022
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