NPI 1205259512

Villages of Jackson Creek Memory Care LLC

Organisation Alzheimer Center (Dementia Center) Independence, MO

Practice location

Address: 19400 E 40th St CT, Independence, MO 64057-1548
Phone: (816) 795-1433

Authorised official

Name: Melvin J Rector
Title: Manager of LLC
Phone: (636) 946-3677

Registered specialties

Alzheimer Center (Dementia Center) Primary

Nursing & Custodial Care Facilities Taxonomy 311500000X

Other Alzheimer Center (Dementia Center) providers in Missouri →

Registry record

NPI: 1205259512
Entity type: Organization
NPI issued: 23 Jan 2014
Record last updated: 23 Jan 2014

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.