| Jacob's Well Holistic Services, Llc | |
|
3200 Strong Ave Kansas City KS 66106-2116 | |
| (913) 262-0550 | |
| (913) 831-3048 |
| Full Name | Jacob's Well Holistic Services, Llc |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 3200 Strong Ave, Kansas City, Kansas |
| Authorized Official Name and Position | Renee L. Roosa (CEO) |
| Authorized Official Contact | 8169165902 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Jacob's Well Holistic Services, Llc 2940 Baltimore Ave Apt 1207 Kansas City MO 64108-3418 Ph: (816) 916-5902 | Jacob's Well Holistic Services, Llc 3200 Strong Ave Kansas City KS 66106-2116 Ph: (913) 262-0550 |
| NPI Number | 1295336915 |
|---|---|
| Provider Enumeration Date | 11/09/2020 |
| Last Update Date | 11/09/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295336915 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
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