Organization
MANICURE NURSE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KIMBERLY GRISWOLD (EXECUTIVE DIRECTOR)
(816) 313-2211
Entity
Organization
Contact information
Practice address
229 SE TOPAZ DR, LEES SUMMIT, MO 64063-5138
(816) 929-0506
Mailing address
229 SE TOPAZ DR, LEES SUMMIT, MO 64063-5138
(816) 929-0506
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
260012392
—
MO
Enumeration date
05/08/2025
Last updated
05/08/2025
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