Organization
VILLAGE VILLA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L BARTLEY (CHIEF FINANCIAL OFFICER)
(785) 273-3383
Entity
Organization
Contact information
Practice address
412 E WALNUT ST, NORTONVILLE, KS 66060-4008
(913) 886-6400
(913) 886-8695
Mailing address
PO BOX 346, NORTONVILLE, KS 66060-0346
(913) 886-6400
(913) 886-8695
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N044003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001022
BCBS
KS
Enumeration date
12/29/2005
Last updated
08/22/2020
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