Organization
CCRC OF OVERLAND PARK, LLC
Active
Other names
Colonial Village
Organization subpart
No
Provider details
NPI number
Authorized official
GILBERT R WOOD (MANAGER OF THE LLC)
(913) 599-5705
Entity
Organization
Contact information
Practice address
12500 W 137TH ST, OVERLAND PARK, KS 66221-4129
(913) 730-3700
Mailing address
12500 W. 137TH STREET, OVERLAND PARK, KS 66221
(913) 730-3700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/17/2017
Last updated
02/20/2019
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