Organization
MISSOURI ASSISTIVE TECHNOLOGY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTY EXLINE (DIRECTOR)
(816) 655-6707
Entity
Organization
Contact information
Practice address
1501 NW JEFFERSON ST, BLUE SPRINGS, MO 64015-7242
(816) 655-6700
(816) 655-6710
Mailing address
1501 NW JEFFERSON ST, BLUE SPRINGS, MO 64015-7242
(816) 655-6700
(816) 655-6710
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
12602434
MO
Other
Enumeration date
03/14/2012
Last updated
03/14/2012
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