Organization
WESTRIDGE GARDENS NURSING & REHABILITATION CENTER, LLC
Active
Other names
Westridge Gardens Rehabilitation & Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
JOSEPH C TUTERA (OPERATOR)
(816) 444-0900
Entity
Organization
Contact information
Practice address
11901 JESSICA LN, RAYTOWN, MO 64138-2639
(816) 358-3535
(816) 358-3638
Mailing address
11901 JESSICA LN, RAYTOWN, MO 64138-2639
(816) 358-3535
(816) 358-3638
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
030380
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
101474609
—
MO
01
—
4434501
AETNA
MO
01
—
90409-011
BLUE CROSS
MO
Enumeration date
08/31/2005
Last updated
02/14/2014
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