JENESIS COUNCE
Individual Provider (NPI-1)
Active
Home Health Aide
Provider Information
- NPI Number
1245794718- Provider Type
- Individual Provider (NPI-1)
- Status
- Active
Contact & Location
- Address
- 6213 E 108TH ST, KANSAS CITY, MO, 641342530
- Phone
- (816) 912-7803
Specialties & Taxonomies
Home Health Aide
Primary License: KS #T-014-079