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Organization

TRADITIONAL HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RAPHAEL TABRON (CEO)
(816) 381-7508
Entity
Organization

Contact information

Practice address
8801 E 63RD ST STE 204, RAYTOWN, MO 64133-4865
(816) 381-7508
(913) 594-3261
Mailing address
8801 E 63RD ST STE 204, RAYTOWN, MO 64133-4865
(816) 381-7508
(913) 594-3261

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary

Other

Enumeration date
04/09/2019
Last updated
04/09/2019
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