Organization
GLENNON PLACE NURSING AND REHAB LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MOSHE DAVID ARYEH (MEMBER)
(847) 440-2233
Entity
Organization
Contact information
Practice address
128 N HARDESTY AVE, KANSAS CITY, MO 64123-1404
(816) 241-2020
Mailing address
7383 N LINCOLN AVE, SUITE 100, LINCOLNWOOD, IL 60712-1734
(847) 440-2233
(847) 430-5283
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101487007
—
MO
Enumeration date
05/21/2014
Last updated
06/22/2015
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