Indian Creek Operating Company LLC
NPI #1285063958 in Overland Park, Kansas
Provider Information
- NPI Number
- 1285063958
- Entity Type
- Organization
- Organization Name
- Indian Creek Operating Company LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Nov 4, 2013
- Last Updated
- Apr 2, 2014
Practice Location
- Address
- 6515 W 103RD ST
- City
- Overland Park
- State
- Kansas
- ZIP Code
- 66212-1728
- Phone
- (913) 642-5545
Authorized Official
- Name
- KELLE C SANTORO
- Title
- SR DIRECTOR AR
- Phone
- (832) 467-5728
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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