Covenant Place of Lenexa, Inc.

NPI #1689931016 in Lenexa, Kansas

Provider Information

NPI Number
1689931016
Entity Type
Organization
Organization Name
Covenant Place of Lenexa, Inc.
Subpart
Yes (part of a larger organization)
Parent Organization
COVENANT RETIREMENT SERVICES
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 23, 2012
Last Updated
Jan 2, 2015

Practice Location

Address
8505 PFLUMM RD
City
Lenexa
State
Kansas
ZIP Code
66215-2461
Phone
(913) 307-2000

Authorized Official

Name
SCOTT E GULLEDGE
Title
MANAGER
Phone
(913) 890-4782

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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