Organization
INDEPENDENCE II OPERATIONS, LLC
Active
Other names
The Villages of Jackson Creek Memory Care
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA PIERCE (AUTHORIZED OFFICER)
(972) 899-4401
Entity
Organization
Contact information
Practice address
3980 S. JACKSON DR., INDEPENDENCE, MO 64057-1706
(816) 795-1433
(816) 795-1766
Mailing address
1500 WATERS RIDGE DR, STE 200, LEWISVILLE, TX 75057-6011
(972) 899-4401
(972) 899-4460
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
MO
Other
Enumeration date
02/28/2008
Last updated
02/28/2008
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