Organization
KENDALLWOOD HOSPICE COMPANY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. MARY Y. REICHERT (ADMINISTRATOR)
(816) 587-1000
Entity
Organization
Contact information
Practice address
2908 NW VIVION RD, RIVERSIDE, MO 64150-1502
(816) 587-1000
(816) 587-3000
Mailing address
2908 NW VIVION RD, RIVERSIDE, MO 64150-1502
(816) 587-1000
(816) 587-3000
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
0418HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100226560A
—
KS
05
—
822927505
—
MO
Enumeration date
10/13/2005
Last updated
05/13/2010
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