Organization
SENIORS ON THE GREEN ADULT CARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CINDY L EDWARDS LPN (PRESIDENT)
(913) 271-4727
Entity
Organization
Contact information
Practice address
19795 W 183RD ST, OLATHE, KS 66062-9271
(913) 271-4727
(913) 592-2988
Mailing address
19795 W 183RD ST, OLATHE, KS 66062-9271
(913) 271-4727
(913) 592-2988
Taxonomy
Speciality
Code
Description
License number
State
385H00000X
Respite Care
Primary
B046047
KS
Other
Enumeration date
10/02/2012
Last updated
10/02/2012
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