Organization
SHAWNEE MISSION HEALTH CARE, INC
Active
Other names
Overland Park Nursing and Rehab Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DAVID RODMAN (ASST. SECRETARY)
(407) 975-3011
Entity
Organization
Contact information
Practice address
6501 W 75TH ST, OVERLAND PARK, KS 66204-3019
(913) 383-9866
(913) 383-1629
Mailing address
602 COURTLAND ST, SUITE 200, ORLANDO, FL 32804-1360
(407) 975-3000
(407) 975-3090
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N046026
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100111890A
—
KS
Enumeration date
04/26/2007
Last updated
04/07/2009
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