Andover Ks Opco LLC

NPI #1790472033 in Andover, Kansas

Provider Information

NPI Number
1790472033
Entity Type
Organization
Organization Name
Andover Ks Opco LLC
Primary Specialty
Skilled Nursing Facility
Enumeration Date
Apr 18, 2023
Last Updated
May 12, 2023

Practice Location

Address
224 E CENTRAL AVE
State
Kansas
ZIP Code
67002-8580
Phone
(718) 942-3483

Authorized Official

Name
ZISHA MARGULIES
Title
CEO
Phone
(718) 942-3483

Specialties & Taxonomy Codes

Specialty
Skilled Nursing Facility

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