Organization
OZARK RECOVERY HOUSING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREA C JASDANWALA FNP-C (CEO)
(760) 908-1253
Entity
Organization
Contact information
Practice address
7505 E 87TH ST, KANSAS CITY, MO 64138-3917
(760) 908-1253
Mailing address
7505 E 87TH ST, KANSAS CITY, MO 64138-3917
(760) 908-1253
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
—
—
Other
Enumeration date
11/15/2021
Last updated
02/14/2025
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