Organization
DOCTORS EQUIPMENT SERVICE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUZANNE DUEWEL (MANAGER)
(816) 523-6644
Entity
Organization
Contact information
Practice address
6021 TROOST AVE, KANSAS CITY, MO 64110-3147
(816) 523-6644
(816) 444-6807
Mailing address
6021 TROOST AVE, KANSAS CITY, MO 64110-3147
(816) 523-6644
(816) 444-6807
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
16-4415
KS
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
900987
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100441230 A
—
KS
05
—
100441230 C
—
KS
Enumeration date
08/15/2014
Last updated
06/10/2021
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