Patsy Maness

Individual provider Active NPI Attendant Care Provider · De Soto, MO

NPI 1700435385 · NPPES record last updated May 1, 2020

Key facts

NPI
1700435385
Entity type
Individual (NPI type 1)
Primary specialty
Attendant Care Provider 3747A0650X
Practice address
5100 Knorpp Road
De Soto, MO 63020
Phone
(314) 652-4100
NPI assigned
Sep 6, 2019
Sex
Female
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Attendant Care Provider 3747A0650X Yes

Addresses

Primary practice location

5100 Knorpp Road
De Soto, MO 63020

Mailing address

5100 Knorpp Road
De Soto, MO 63020

Other providers in De Soto, MO

All providers in De Soto, MO · Attendant Care Provider in Missouri

Sources for this page

Verify at the official NPI Registry.