Organization
SEDALIA HEALTH GROUP, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
NORMAN WILCOX (CEO)
(913) 548-8559
Entity
Organization
Contact information
Practice address
25023 BOTHWELL PARK RD, SEDALIA, MO 65301-0084
(816) 550-6418
Mailing address
11701 NIEMAN RD, OVERLAND PARK, KS 66210-4310
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
3104A0625X
Assisted Living Facility (Mental Illness)
—
—
311Z00000X
Custodial Care Facility
—
—
311ZA0620X
Adult Care Home Facility
—
—
Other
Enumeration date
08/21/2018
Last updated
08/21/2018
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