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Organization

HIAWATHA OPCO LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ADAM CONDER (GENERAL COUNSEL)
(816) 622-1017
Entity
Organization

Contact information

Practice address
302 E IOWA ST, HIAWATHA, KS 66434-9826
(785) 742-7465
Mailing address
314 NW 11TH ST, BLUE SPRINGS, MO 64015-3676
(816) 622-1017

Taxonomy

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

Other

Enumeration date
08/29/2023
Last updated
08/29/2023
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