Organization
IGNITE MEDICAL RESORT OVERLAND PARK LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TIMOTHY FIELDS (CEO)
(630) 327-2951
Entity
Organization
Contact information
Practice address
11901 ROSEWOOD ST, OVERLAND PARK, KS 66209-3533
(913) 345-1745
Mailing address
1550 N NORTHWEST HWY STE 430, PARK RIDGE, IL 60068-1461
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
07/15/2024
Last updated
07/15/2024
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