Providence Place, Inc.
NPI #1750385217 in Kansas City, Kansas
Provider Information
- NPI Number
- 1750385217
- Entity Type
- Organization
- Organization Name
- Providence Place, Inc.
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Jun 10, 2005
- Last Updated
- Apr 26, 2013
Practice Location
- Address
- 8909 PARALLEL PKWY
- City
- Kansas City
- State
- Kansas
- ZIP Code
- 66112-1689
- Phone
- (913) 596-4200
Authorized Official
- Name
- MIKE WARREN
- Title
- ADMINISTRATOR
- Phone
- (913) 596-4200
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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