Organization
IGNITE MEDICAL RESORT CARONDELET, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (CEO)
(833) 944-6483
Entity
Organization
Contact information
Practice address
621 CARONDELET DR, KANSAS CITY, MO 64114-4670
(816) 941-1300
Mailing address
1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1411
(833) 944-6483
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/27/2020
Last updated
01/29/2021
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