Organization
STREETCAR HEALTHCARE, INC.
Active
Other names
Providence Place
Organization subpart
No
Provider details
NPI number
Authorized official
SOON BURNAM (AUTHORIZED OFFICIAL)
(949) 540-1249
Entity
Organization
Contact information
Practice address
8909 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 279-0472
Mailing address
8909 PARALLEL PKWY, KANSAS CITY, KS 66112-1689
(913) 279-0472
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/24/2023
Last updated
06/10/2025
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