# PRAIRIE RIDGE HEALTH & REHABILITATION

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235836537
- **Authorized official:** MR. BENJAMIN JASON BRYANT (OWNER & OPERATOR)
- **Authorized official phone:** (573) 836-4131

## Contact information

- **Practice address:** 6501 W 75TH ST, OVERLAND PARK, KS 66204-3017
- **Practice address phone:** (913) 383-9866
- **Practice address fax:** (913) 393-1629
- **Mailing address:** 6501 W 75TH ST, OVERLAND PARK, KS 66204-3017
- **Mailing address phone:** (913) 383-9866
- **Mailing address fax:** (913) 393-1629

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/08/2023
- **Last updated:** 02/07/2024