Organization
BLUE OVAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PRASAD VAMAN SARAPH (CEO)
(832) 880-2698
Entity
Organization
Contact information
Practice address
435 NICHOLS RD, SUITE 200, KANSAS CITY, MO 64112-2036
(844) 521-2345
(844) 521-2345
Mailing address
435 NICHOLS RD, SUITE 200, KANSAS CITY, MO 64112-2036
(844) 521-2345
(844) 521-2345
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
02/14/2016
Last updated
02/14/2016
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