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Organization

CCRC OF TIFFIN, LLC

Active
Other names
Clear Creek Village
Organization subpart
No

Provider details

NPI number
Authorized official
JORDAN R ANDERSON (MANAGER OF THE LLC)
(913) 890-4780
Entity
Organization

Contact information

Practice address
900 VILLAGE DRIVE, TIFFIN, IA 52340
(913) 890-4780
Mailing address
6731 W 121ST ST STE 100, OVERLAND PARK, KS 66209-2003
(913) 890-4780
(913) 956-6564

Taxonomy

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

Other

Enumeration date
04/14/2026
Last updated
04/14/2026
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