Individual
BETTY JORDAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
6133 KENTUCKY AVE, RAYTOWN, MO 64133-3747
(816) 437-4158
Mailing address
6133 KENTUCKY AVE, RAYTOWN, MO 64133-3747
(816) 437-4158
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/17/2007
Last updated
10/17/2007
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