OrganizationDanen Pauly Enterprises Inc(The Leatherman Clinic)Preferred Provider OrganizationManaged Care OrganizationsPractice Address463 S Thompson Ave, Excelsior Springs, MO 64024-2133(816) 637-5000PECOS EnrollmentBased on the most recent information from CMS, provider Danen Pauly Enterprises Inc does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 3 days ago.Profile DetailsProvider ID1962785253Provider TypeOrganizationFull NameDanen Pauly Enterprises IncOther NameThe Leatherman ClinicSubpartNoEnumeration Date9/22/2011Last Updated4/1/2012Contact InformationPractice LocationPractice Address463 S Thompson Ave, Excelsior Springs, MO 64024-2133Phone(816) 637-5000FaxUnlisted FaxMailing LocationMailing Address463 S Thompson Ave, Excelsior Springs, MO 64024-2133Phone(816) 637-5000FaxUnlisted FaxAuthorized OfficialNamePauly, Danen (Ceo)Phone(319) 430-5645Provider TaxonomiesCodeDescriptionLicenseCode305R00000XPrimaryDescriptionPreferred Provider OrganizationManaged Care OrganizationsLicense007350Iowa