# OTTAWA HEALTHCARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rock Creek of Ottawa
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932687175
- **Authorized official:** MS. SOON BURNAM (TREASURER)
- **Authorized official phone:** (949) 540-1249

## Contact information

- **Practice address:** 1100 W 15TH ST, OTTAWA, KS 66067-3953
- **Practice address phone:** (785) 242-5399
- **Practice address fax:** (785) 242-6063
- **Mailing address:** 1100 W 15TH ST, OTTAWA, KS 66067-3953
- **Mailing address phone:** (785) 242-5399
- **Mailing address fax:** (785) 242-6063

## Taxonomy

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

## Other

- **Enumeration date:** 07/31/2018
- **Last updated:** 07/11/2023