Organization
MIDWESTERN MEDICAL CONSULTANTS LLC
Active
Other names
DBA Mockingbird Manor Residential Care
Organization subpart
No
Provider details
NPI number
Authorized official
AMY KATHENNE LOMBARDO (OWNER/ADMINISTRATOR)
(816) 781-8058
Entity
Organization
Contact information
Practice address
227 W. FRANKLIN ST, LIBERTY, MO 64068
(816) 781-8058
(816) 781-8058
Mailing address
P.O. BOX 101, LIBERTY, MO 64069
(816) 781-8058
(816) 781-6336
Taxonomy
Speciality
Code
Description
License number
State
3104A0625X
Assisted Living Facility (Mental Illness)
Primary
—
—
Other
Enumeration date
09/26/2019
Last updated
09/26/2019
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