Provider Demographics
NPI:1598374068
Name:POOH'S ALL IN ONE NURSING CARE-LLC
Entity Type:Organization
Organization Name:POOH'S ALL IN ONE NURSING CARE-LLC
Other - Org Name:POOH'S ALL IN ONE NURSING CARE LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MARIAN
Authorized Official - Middle Name:L
Authorized Official - Last Name:DUNBAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-507-1222
Mailing Address - Street 1:PO BOX 24761
Mailing Address - Street 2:
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64131-0761
Mailing Address - Country:US
Mailing Address - Phone:816-507-1222
Mailing Address - Fax:
Practice Address - Street 1:10514 WALNUT DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64114-4725
Practice Address - Country:US
Practice Address - Phone:181-651-4083
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:0
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-07-30
Last Update Date:2023-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health