MS. JACQUELINE J BUCHANAN
Adult Care Home
Kansas City, Kansas
Provider NPI: 1093978629
Provider Information:MS. JACQUELINE J BUCHANAN
Practice Location:
2038 N 41 ST KANSAS CITY, KS 66104 US
Tel: 913-287-8304 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | KS | B105115 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
200306540A | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin