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Organization

HICKORY CREEK HEALTHCARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SOON BURNAM (SECRETARY)
(949) 540-1249
Entity
Organization

Contact information

Practice address
6500 GREELEY AVE, KANSAS CITY, KS 66104-2647
(913) 334-0200
(949) 540-3007
Mailing address
6500 GREELEY AVE, KANSAS CITY, KS 66104-2647
(913) 334-0200
(949) 540-3007

Taxonomy

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

Other

Enumeration date
09/17/2025
Last updated
09/17/2025
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