Organization
JACK OF TRADES SALES CONTRACTING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DAMIEN PAYTON (PRESIDENT)
(913) 667-0600
Entity
Organization
Contact information
Practice address
6201 BELLEFONTAINE AVE, KANSAS CITY, MO 64130-3954
(913) 667-0600
(816) 800-9219
Mailing address
6201 BELLEFONTAINE AVE, KANSAS CITY, MO 64130-3954
(913) 667-0600
(816) 800-9219
Taxonomy
Speciality
Code
Description
License number
State
225XR0403X
Driving and Community Mobility Occupational Therapist
—
—
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
347B00000X
Bus
—
—
347C00000X
Private Vehicle
—
—
Other
Enumeration date
10/18/2022
Last updated
10/18/2022
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