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Organization
IGNITE MEDICAL RESORT RAINBOW BOULEVARD LLC
Active
Organization
IGNITE MEDICAL RESORT RAINBOW BOULEVARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM FIELDS (CHIEF EXECUTIVE OFFICER)
(630) 327-2951
Entity
Organization
Contact information
Practice address
3910 RAINBOW BOULEVARD, KANSAS CITY, KS 66103
(913) 901-8462
Mailing address
6840 W TOUHY AVENUE, NILES, IL 60714
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
10/18/2023
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