Organization
XTRACARE ADULT DAY CARE CENTER, LLC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROSE A. IYEWARUN PH.D. - IOWA STATE U (DIRECTOR/MANAGER)
(816) 272-2533
Entity
Organization
Contact information
Practice address
6311 EVANSTON AVE, RAYTOWN, MO 64133-4929
(816) 272-2533
(816) 298-1426
Mailing address
6311 EVANSTON AVE, RAYTOWN, MO 64133-4929
(816) 272-2533
(816) 298-1426
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
Primary
—
—
Other
Enumeration date
03/11/2014
Last updated
08/04/2023
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