Organization
THE EVERGREENS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. CHRISTOPHER JAMES CAMPOS (CO-OWNER)
(816) 392-6560
Entity
Organization
Contact information
Practice address
905 SW OLDHAM PKWY, LEES SUMMIT, MO 64081-2609
(816) 246-7007
(816) 246-7006
Mailing address
5013 OSAGE AVE, KANSAS CITY, MO 64133-2654
(816) 785-1616
(816) 246-7006
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
681
MO
Other
Enumeration date
06/25/2007
Last updated
08/22/2020
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