Organization
JOHN KNOX VILLAGE
Active
Other names
Hospice by John Knox Village
Organization subpart
No
Provider details
NPI number
Authorized official
ANTHONY COLUMBATTO (VP HEALTH SERVICES)
(816) 347-2030
Entity
Organization
Contact information
Practice address
600 NW PRYOR RD UNIT 300, LEES SUMMIT, MO 64081-1104
(816) 525-0986
Mailing address
400 NW MURRAY RD, LEES SUMMIT, MO 64081-1426
Taxonomy
Speciality
Code
Description
License number
State
251G00000X
Community Based Hospice Care Agency
Primary
115-4HO
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
821070802
—
MO
Enumeration date
10/06/2006
Last updated
12/26/2024
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