Organization
MIDAMERICA ALLIANCE FOR ACCESS CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DENNIS (GARRETT) GARRETT DRAKE (CHIEF EXECUTIVE OFFICER)
(913) 321-5140
Entity
Organization
Contact information
Practice address
311 DELAWARE ST., #102 #A, KANSAS CITY, MO 64105
(913) 321-5140
(913) 321-5140
Mailing address
311 DELAWARE ST., #102 #A, KANSAS CITY, MO 64105
(913) 321-5140
(913) 321-5140
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
01247
MO
235Z00000X
Speech-Language Pathologist
2003018091
MO
251B00000X
Case Management Agency
—
—
3747P1801X
Personal Care Attendant
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100033910A
—
KS
05
—
266257104
—
MO
05
—
504580002
—
MO
Enumeration date
12/28/2006
Last updated
05/12/2017
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