Organization
SELECTRA ONESOURCE, INC.
Active
Other names
SELECTRA HEALTH SERVICES
Organization subpart
No
Provider details
NPI number
Authorized official
SHANIA L WRIGHT (DIRECTOR)
(816) 822-1000
Entity
Organization
Contact information
Practice address
1734 E 63RD STREET, SUITE 448, KANSAS CITY, MO 64110-3597
(816) 822-1000
(816) 822-1040
Mailing address
1734 E 63RD STREET, SUITE 448, KANSAS CITY, MO 64110-3597
(816) 822-1000
(816) 822-1040
Taxonomy
Speciality
Code
Description
License number
State
376J00000X
Homemaker
Primary
286226105
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
286226105
—
MO
Enumeration date
04/30/2008
Last updated
05/01/2008
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