Provider Demographics
NPI:1770132672
Name:DIGNIFIED ADULT DAY CARE, LLC
Entity type:Organization
Organization Name:DIGNIFIED ADULT DAY CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JOY
Authorized Official - Middle Name:ZAINAB
Authorized Official - Last Name:YAHAYA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-315-4483
Mailing Address - Street 1:7203 E 134TH CIR
Mailing Address - Street 2:
Mailing Address - City:GRANDVIEW
Mailing Address - State:MO
Mailing Address - Zip Code:64030-3343
Mailing Address - Country:US
Mailing Address - Phone:816-315-4483
Mailing Address - Fax:
Practice Address - Street 1:11218 HICKMAN MILLS DR
Practice Address - Street 2:
Practice Address - City:KANSAS CITY
Practice Address - State:MO
Practice Address - Zip Code:64134-4203
Practice Address - Country:US
Practice Address - Phone:816-315-4483
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-04
Last Update Date:2019-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care