Organization
GOOD LIVING CAREGIVERS AGENCY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MAXWELL SITOU AGBAKPEM (ORGANIZER)
(314) 478-3329
Entity
Organization
Contact information
Practice address
4535 MAIN ST, 112, KANSAS CITY, MO 64111-1815
(314) 478-3329
Mailing address
4535 MAIN ST, 112, KANSAS CITY, MO 64111-1815
(314) 478-3329
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
—
MO
Other
Enumeration date
02/02/2017
Last updated
02/02/2017
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