NPI 1063946143
Ccrc of Overland Park, LLC
Practice location
- Address
- 12500 W 137th St, Overland Park, KS 66221-4129
- Phone
- (913) 730-3700
- Mailing address
- 12500 W. 137th Street, Overland Park, KS 66221
Authorised official
- Name
- Gilbert R Wood
- Title
- Manager of the LLC
- Phone
- (913) 599-5705
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1063946143
- Entity type
- Organization
- NPI issued
- 17 Apr 2017
- Record last updated
- 20 Feb 2019
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.