| Ozark Recovery Housing Llc | |
|
7505 E 87th St Kansas City MO 64138-3917 | |
| (760) 908-1253 | |
| Not Available |
| Full Name | Ozark Recovery Housing Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 7505 E 87th St, Kansas City, Missouri |
| Authorized Official Name and Position | Andrea C Jasdanwala (CEO) |
| Authorized Official Contact | 7609081253 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ozark Recovery Housing Llc 7505 E 87th St Kansas City MO 64138-3917 Ph: (760) 908-1253 | Ozark Recovery Housing Llc 7505 E 87th St Kansas City MO 64138-3917 Ph: (760) 908-1253 |
| NPI Number | 1891451761 |
|---|---|
| Provider Enumeration Date | 11/15/2021 |
| Last Update Date | 02/14/2025 |
| Medicare PECOS PAC ID | 1951831346 |
|---|---|
| Medicare Enrollment ID | O20250214001181 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891451761 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Sarfaraz Jasdanwala |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1851646665 PECOS PAC ID: 8426364258 Enrollment ID: I20150825003318 |
| Provider Name | Andrea C Jasdanwala |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619405602 PECOS PAC ID: 9335484369 Enrollment ID: I20181220000184 |
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