Ignite Medical Resort Rainbow Boulevard LLC
NPI #1194379065 in Kansas City, Kansas
Provider Information
- NPI Number
- 1194379065
- Entity Type
- Organization
- Organization Name
- Ignite Medical Resort Rainbow Boulevard LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jul 30, 2019
- Last Updated
- Oct 18, 2023
Practice Location
- Address
- 3910 RAINBOW BOULEVARD
- City
- Kansas City
- State
- Kansas
- ZIP Code
- 66103
- Phone
- (913) 901-8462
Authorized Official
- Name
- TIM FIELDS
- Title
- CHIEF EXECUTIVE OFFICER
- Phone
- (630) 327-2951
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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