Independence Mc, LLC
NPI #1679344402 in Independence, Missouri
Provider Information
- NPI Number
- 1679344402
- Entity Type
- Organization
- Organization Name
- Independence Mc, LLC
- Primary Specialty
- Alzheimer Center (Dementia Center)
- Enumeration Date
- Jan 10, 2024
- Last Updated
- Aug 21, 2024
Practice Location
- Address
- 19400 E 40TH STREET CT S
- City
- Independence
- State
- Missouri
- ZIP Code
- 64057-1548
- Phone
- (816) 478-5689
Authorized Official
- Name
- JOHN MITCHELL
- Title
- SECRETARY
- Phone
- (385) 988-3319
Specialties & Taxonomy Codes
| Specialty |
|---|
| Alzheimer Center (Dementia Center) |
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