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Organization
THI OF KANSAS AT INDIAN CREEK, LLC
Active
Organization
THI OF KANSAS AT INDIAN CREEK, LLC
Active
Other names
Indian Creek Healthcare Center
Organization subpart
No
Provider details
NPI number
Authorized official
GLENNA CALDWELL (PRESIDENT)
(913) 642-5545
Entity
Organization
Contact information
Practice address
6515 W 103RD ST, OVERLAND PARK, KS 66212-1728
(913) 642-5545
(913) 642-3982
Mailing address
920 RIDGEBROOK RD, SPARKS, MD 21152-9390
(410) 773-1000
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042125101
—
KS
Enumeration date
10/07/2006
Last updated
06/21/2011
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