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Organization

CEDAR LAKE VILLAGE, INC

Active
Other names
HOEGER HOUSE
Organization subpart
No

Provider details

NPI number
Authorized official
MS. JOANNA RANDALL (EXECUTIVE DIRECTOR)
(913) 780-9917
Entity
Organization

Contact information

Practice address
20911 W 153RD ST, OLATHE, KS 66061
(913) 397-2900
(913) 397-2895
Mailing address
20911 W 153RD ST, OLATHE, KS 66061
(913) 397-2900
(913) 397-2895

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
KS

Other

Enumeration date
07/27/2006
Last updated
07/22/2014
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