Provider Demographics
NPI:1346429081
Name:SPECIAL PEOPLE REQUIRING UNIQUE CARE EQUALLY
Entity type:Organization
Organization Name:SPECIAL PEOPLE REQUIRING UNIQUE CARE EQUALLY
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CO-OWNER/ C.E.O.
Authorized Official - Prefix:MS
Authorized Official - First Name:TERRY
Authorized Official - Middle Name:DENEAN
Authorized Official - Last Name:MASON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-743-9573
Mailing Address - Street 1:6306 RALSTON AVE
Mailing Address - Street 2:
Mailing Address - City:RAYTOWN
Mailing Address - State:MO
Mailing Address - Zip Code:64133-5133
Mailing Address - Country:US
Mailing Address - Phone:816-743-9573
Mailing Address - Fax:816-313-1007
Practice Address - Street 1:6306 RALSTON AVE
Practice Address - Street 2:
Practice Address - City:RAYTOWN
Practice Address - State:MO
Practice Address - Zip Code:64133-5133
Practice Address - Country:US
Practice Address - Phone:816-743-9573
Practice Address - Fax:816-313-1007
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-30
Last Update Date:2007-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility