Organization
CHINIQUE CARE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TYRONE DAVIS (DIRECTOR)
(816) 405-1202
Entity
Organization
Contact information
Practice address
13905 E 39TH ST S STE 105, INDEPENDENCE, MO 64055-3378
(816) 405-1202
(816) 256-4182
Mailing address
13905 E 39TH ST S STE 105, INDEPENDENCE, MO 64055-3378
(816) 405-1202
(816) 256-4182
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
09/28/2020
Last updated
10/29/2020
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