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Organization

CATHOLIC CARE CAMPUS, INC.

Active
Other names
The Plaza Health Services at Santa Marta
Organization subpart
No

Provider details

NPI number
Authorized official
CHESTER SURMACZEWICZ (EXECUTIVE DIRECTOR/PRESIDENT)
(913) 906-0990
Entity
Organization

Contact information

Practice address
13800 W 116TH ST, OLATHE, KS 66062-7833
(913) 906-0990
(913) 906-0911
Mailing address
13800 W 116TH ST., OLATHE, KS 66062
(913) 906-0990
(913) 906-0911

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
N046075
KS
311500000X
Alzheimer Center (Dementia Center)
N046075
KS
314000000X
Skilled Nursing Facility
Primary
N046075
KS

Other

Enumeration date
03/05/2008
Last updated
01/23/2013
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