Individual provider · Type 1 NPI
Wanda Thompson Mullins
Adult Care Home Facility · Raytown, MO
NPI number
1972409837
Active
Practice location
5914 Blue Ridge Blvd
Raytown, MO 64133-3933
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
About NPI 1972409837
Wanda Thompson Mullins's National Provider Identifier is 1972409837, issued on Oct 16, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Raytown, MO. The record was last updated on Oct 16, 2026.