Organization
JOHN KNOX VILLAGE
Active
Other names
John Knox Village Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ANTHONY COLUMBATTO (VP - HEALTH & RESIDENT SERVICES)
(816) 347-2030
Entity
Organization
Contact information
Practice address
600 NW PRYOR RD, LEES SUMMIT, MO 64081-1104
(816) 347-2400
Mailing address
400 NW MURRAY RD, LEES SUMMIT, MO 64081-1499
(816) 347-2400
(816) 525-3473
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
031448
MO
341600000X
Ambulance
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101488401
—
MO
05
—
801488404
—
MO
Enumeration date
09/30/2005
Last updated
12/17/2024
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