Ccrc of Lenexa, LLC

NPI #1144734088 in Lenexa, Kansas

Provider Information

NPI Number
1144734088
Entity Type
Organization
Organization Name
Ccrc of Lenexa, LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Nov 30, 2017
Last Updated
Nov 30, 2017

Practice Location

Address
8505 PFLUMM RD
City
Lenexa
State
Kansas
ZIP Code
66215-2468
Phone
(913) 307-2000

Authorized Official

Name
SCOTT E GULLEDGE
Title
MANAGER BY CONTRACT
Phone
(913) 890-4780

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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