# VILLAGE VILLA, INC.

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

## Provider details

- **NPI number:** 1770560856
- **Authorized official:** TRACY L BARTLEY (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (785) 273-3383

## Contact information

- **Practice address:** 412 E WALNUT ST, NORTONVILLE, KS 66060-4008
- **Practice address phone:** (913) 886-6400
- **Practice address fax:** (913) 886-8695
- **Mailing address:** PO BOX 346, NORTONVILLE, KS 66060-0346
- **Mailing address phone:** (913) 886-6400
- **Mailing address fax:** (913) 886-8695

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N044003 | KS | Yes |

## Other

- **Enumeration date:** 12/29/2005
- **Last updated:** 08/22/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 001022 | BCBS | KS |