NPI 1255345427
Cedar Lake Village, INC
Practice location
- Address
- 20911 W 153rd St, Olathe, KS 66061
- Phone
- (913) 397-2900
- Fax
- (913) 397-2895
Authorised official
- Name
- Joanna Randall
- Title
- Executive Director
- Phone
- (913) 780-9917
Registered specialties
Skilled Nursing Facility
Primary
Registry record
- NPI
- 1255345427
- Entity type
- Organization
- NPI issued
- 27 Jul 2006
- Record last updated
- 22 Jul 2014
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.