Provider Demographics
NPI:1639494446
Name:THE QUEEN'S SPECIALTIES CARE CENTER
Entity Type:Organization
Organization Name:THE QUEEN'S SPECIALTIES CARE CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:
Authorized Official - Last Name:TURNER
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:573-931-3262
Mailing Address - Street 1:11301 COLORADO AVE
Mailing Address - Street 2:125
Mailing Address - City:KANSAS CITY
Mailing Address - State:MO
Mailing Address - Zip Code:64137-2892
Mailing Address - Country:US
Mailing Address - Phone:573-931-3262
Mailing Address - Fax:816-285-9100
Practice Address - Street 1:11301 COLORADO AVE
Practice Address - Street 2:125
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64137-2892
Practice Address - Country:US
Practice Address - Phone:573-931-3262
Practice Address - Fax:816-285-9100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility