Organization
MASONIC HOME OF MISSOURI
Active
Organization
MASONIC HOME OF MISSOURI
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KARIN A BELL (EXECUTIVE DIRECTOR)
(573) 814-4663
Entity
Organization
Contact information
Practice address
1201 E. BANNISTER RD, KANSAS CITY, MO 64138
(816) 763-6667
Mailing address
6033 MASONIC DR, SUITE A, COLUMBIA, MO 65202-6568
(573) 814-4663
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
031984
MO
Other
Enumeration date
04/10/2007
Last updated
08/22/2020
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