Organization
AZD DERBY, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NOAH KAMINER (MANAGER)
(316) 788-3739
Entity
Organization
Contact information
Practice address
445 N WESTVIEW DR, DERBY, KS 67037-2228
(316) 788-3739
Mailing address
702 S HIGHWAY 6, GRETNA, NE 68028-7970
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/07/2020
Last updated
10/07/2020
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