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Organization

CCRC OF CEDAR RAPIDS, LLC

Active
Other names
Terrace Glen Village
Organization subpart
No

Provider details

NPI number
Authorized official
GILBERT R WOOD (MANAGER OF THE LLC)
(913) 599-5705
Entity
Organization

Contact information

Practice address
11827 W 112TH ST, SUITE 103, OVERLAND PARK, KS 66210
(913) 890-4780
Mailing address
3400 ALBURNETT ROAD, MARION, IA 52302

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
IA

Other

Enumeration date
02/09/2017
Last updated
08/02/2018
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