Provider Demographics
NPI:1043726599
Name:TWIN OAKS FAMILY CARE
Entity type:Organization
Organization Name:TWIN OAKS FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:DAVID
Authorized Official - Last Name:JENNEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:816-547-1833
Mailing Address - Street 1:33056 JAMES ST
Mailing Address - Street 2:
Mailing Address - City:LAWSON
Mailing Address - State:MO
Mailing Address - Zip Code:64062-8142
Mailing Address - Country:US
Mailing Address - Phone:816-547-1833
Mailing Address - Fax:
Practice Address - Street 1:33056 JAMES ST
Practice Address - Street 2:
Practice Address - City:LAWSON
Practice Address - State:MO
Practice Address - Zip Code:64062-8142
Practice Address - Country:US
Practice Address - Phone:816-547-1833
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-20
Last Update Date:2017-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care