Organization
IGNITE MEDICAL RESORT RAINBOW BOULEVARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIM FIELDS (CHIEF EXECUTIVE OFFICER)
(630) 327-2951
Entity
Organization
Contact information
Practice address
3910 RAINBOW BOULEVARD, KANSAS CITY, KS 66103
(913) 901-8462
Mailing address
6840 W TOUHY AVENUE, NILES, IL 60714
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/30/2019
Last updated
10/18/2023
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