Organization
MULBERRY STREET TBI, LLC
Active
Parent organization
MULBERRY STREET
Organization subpart
Yes
Provider details
NPI number
Legal business name
MULBERRY STREET
Authorized official
MR. JOSHUA AARON MACK (CO-DIRECTOR)
(816) 224-2000
Entity
Organization
Contact information
Practice address
1517 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014-3944
(816) 224-2000
(816) 224-2006
Mailing address
1517 SW STATE ROUTE 7, BLUE SPRINGS, MO 64014-3944
(816) 224-2000
(816) 224-2006
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
—
Other
Enumeration date
01/29/2013
Last updated
01/29/2013
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