Organization
INDEPENDENCE COMMUNITY HEALTHCARE, LLC
Active
Other names
Jackson Creek Post Acute
Organization subpart
No
Provider details
NPI number
Authorized official
ALICIA TORRES (MANAGER)
(385) 342-5175
Entity
Organization
Contact information
Practice address
3980 S JACKSON DR, INDEPENDENCE, MO 64057-2205
(816) 795-1433
Mailing address
262 N UNIVERSITY AVE, FARMINGTON, UT 84025-2975
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
01/10/2024
Last updated
01/06/2025
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