Provider Demographics
NPI:1568416600
Name:ACCESS II INDEPENDENT LIVING CENTER INC.
Entity Type:Organization
Organization Name:ACCESS II INDEPENDENT LIVING CENTER INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:SWYMELER
Authorized Official - Suffix:
Authorized Official - Credentials:MBA
Authorized Official - Phone:660-663-2423
Mailing Address - Street 1:101 INDUSTRIAL PARKWAY
Mailing Address - Street 2:
Mailing Address - City:GALLATIN
Mailing Address - State:MO
Mailing Address - Zip Code:64640-7418
Mailing Address - Country:US
Mailing Address - Phone:660-663-2423
Mailing Address - Fax:660-663-2517
Practice Address - Street 1:101 INDUSTRIAL PARKWAY
Practice Address - Street 2:
Practice Address - City:GALLATIN
Practice Address - State:MO
Practice Address - Zip Code:64640-7418
Practice Address - Country:US
Practice Address - Phone:660-663-2423
Practice Address - Fax:660-663-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-22
Last Update Date:2024-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO266210905Medicaid