Organization
CCRC OF AMES LLC
Active
Other names
Northridge Village
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT E GULLEDGE (MANAGER)
(913) 890-4782
Entity
Organization
Contact information
Practice address
3300 GEORGE WASHINGTON CARVER AVE, AMES, IA 50010-9292
(515) 232-1000
(855) 745-4846
Mailing address
11827 W 112TH ST, STE 103, OVERLAND PARK, KS 66210-2726
(913) 890-4782
(913) 956-6564
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/27/2015
Last updated
07/27/2015
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