1st Access, LLC

NPI #1104298876 in Raytown, Missouri

Provider Information

NPI Number: 1104298876
Entity Type: Organization
Organization Name: 1st Access, LLC
Subpart: Yes (part of a larger organization)
Parent Organization: ACCESS HOME HEALTH, INC.
Primary Specialty: In Home Supportive Care
Enumeration Date: Oct 21, 2015
Last Updated: Oct 21, 2015

Practice Location

Address: 9504 E 63RD ST
Address 2: SUITE 214
City: Raytown
State: Missouri
ZIP Code: 64133-4948
Phone: (816) 503-9865

Authorized Official

Name: DARRIAN JUJUAN GRAY
Title: OWNER/ PRESIDENT
Phone: (816) 503-9865

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
In Home Supportive Care	253Z00000X	Primary

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