# INDIAN CREEK OPERATING COMPANY LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Indian Creek Healthcare Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1285063958
- **Authorized official:** KELLE C SANTORO (SR DIRECTOR AR)
- **Authorized official phone:** (832) 467-5728

## Contact information

- **Practice address:** 6515 W 103RD ST, OVERLAND PARK, KS 66212-1728
- **Practice address phone:** (913) 642-5545
- **Mailing address:** 6515 W 103RD ST, OVERLAND PARK, KS 66212-1728
- **Mailing address phone:** (913) 642-5545

## Taxonomy

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

## Other

- **Enumeration date:** 11/04/2013
- **Last updated:** 04/02/2014