Organization
GRAND PAVILION, LLC
Active
Other names
Grand Pavilion at the Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MATTHEW NOVOTNY (MANAGER)
(785) 313-0946
Entity
Organization
Contact information
Practice address
4330 WASHINGTON ST, KANSAS CITY, MO 64111-3340
(816) 753-6800
Mailing address
1213 HYLTON HEIGHTS RD STE 129, MANHATTAN, KS 66502-2812
(785) 313-0946
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
04/02/2019
Last updated
04/02/2019
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