Prime Healthcare Services-Providence, LLC
NPI #1639624364 in Kansas City, Kansas
Provider Information
- NPI Number
- 1639624364
- Entity Type
- Organization
- Organization Name
- Prime Healthcare Services-Providence, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Aug 23, 2016
- Last Updated
- Aug 23, 2016
Practice Location
- Address
- 8929 PARALLEL PKWY
- City
- Kansas City
- State
- Kansas
- ZIP Code
- 66112-1689
- Phone
- (913) 596-3229
Authorized Official
- Name
- CHRISTOPHER DOAN
- Title
- CHIEF COMPLIANCE COUNSEL
- Phone
- (909) 235-4307
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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