Organization
WELLNESS LIFE SYSTEMS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSE EVANS (MEMBER)
(816) 221-2880
Entity
Organization
Contact information
Practice address
1 DESIGN DR, N KANSAS CITY, MO 64116-3096
(816) 268-6800
(816) 268-6827
Mailing address
1 DESIGN DR, N KANSAS CITY, MO 64116-3096
(816) 268-6800
(816) 268-6827
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
626171607
—
MO
Enumeration date
06/15/2005
Last updated
06/02/2014
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