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Organization

CCRC OF GRIMES, LLC

Active
Other names
Kennybrook Village
Organization subpart
No

Provider details

NPI number
Authorized official
MR. GILBERT R WOOD (MANAGING MEMBER)
(913) 599-5705
Entity
Organization

Contact information

Practice address
200 SW BROOKSIDE DRIVE, GRIMES, IA 50111
(515) 369-3900
(515) 369-3905
Mailing address
11827 W 112TH ST, SUITE 103, OVERLAND PARK, KS 66210-2726
(913) 890-4780
(913) 956-6564

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
05/25/2011
Last updated
01/26/2017
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