| Evolve Healthcare Corp. | |
|
2908 Wayne Ave Kansas City MO 64109-1629 | |
| (816) 617-8787 | |
| Not Available |
| Full Name | Evolve Healthcare Corp. |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 2908 Wayne Ave, Kansas City, Missouri |
| Authorized Official Name and Position | Iman Boudreaux (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8166178787 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Evolve Healthcare Corp. 2908 Wayne Ave Kansas City MO 64109-1629 Ph: (816) 617-8787 | Evolve Healthcare Corp. 2908 Wayne Ave Kansas City MO 64109-1629 Ph: (816) 617-8787 |
| NPI Number | 1326876111 |
|---|---|
| Provider Enumeration Date | 07/23/2024 |
| Last Update Date | 07/31/2024 |
| Certification Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326876111 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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