Ccrc of Overland Park, LLC
NPI #1063946143 in Overland Park, Kansas
Provider Information
- NPI Number
- 1063946143
- Entity Type
- Organization
- Organization Name
- Ccrc of Overland Park, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Apr 17, 2017
- Last Updated
- Feb 20, 2019
Practice Location
- Address
- 12500 W 137TH ST
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66221-4129
- Phone
- (913) 730-3700
Authorized Official
- Name
- GILBERT R WOOD
- Title
- MANAGER OF THE LLC
- Phone
- (913) 599-5705
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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