Provider Demographics
NPI:1306230834
Name:VITRUVIAN HEALTHCARE SOLUTIONS, LLC
Entity type:Organization
Organization Name:VITRUVIAN HEALTHCARE SOLUTIONS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:PRESTON
Authorized Official - Middle Name:
Authorized Official - Last Name:HOWERTON
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:816-645-5643
Mailing Address - Street 1:1741 NE BLUE HERON CT
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64086-7820
Mailing Address - Country:US
Mailing Address - Phone:816-645-5643
Mailing Address - Fax:
Practice Address - Street 1:1741 NE BLUE HERON CT
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64086-7820
Practice Address - Country:US
Practice Address - Phone:816-645-5643
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-23
Last Update Date:2015-03-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2005029307310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility