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NPI Code Detail

MEDICARE: 4700 CLIFF VIEW DRIVE OPERATING COMPANY LLC

MEDICARE: 4700 CLIFF VIEW DRIVE OPERATING COMPANY LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1314000000XSkilled Nursing Facility

General Provider Information

NPI Number : 1801908967
Entity Type Code : Organization
Provider Name (Legal Business Name) : 4700 CLIFF VIEW DRIVE OPERATING COMPANY LLC
Provider Business Mailing Address
First Line : 4700 NW CLIFF VIEW DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64150-1237
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 4700 NW CLIFF VIEW DR
Second Line :
City : KANSAS CITY
State : MO
Zip : 64150-1237
Country : US
Telephone Number : 816-741-5105
Fax Number :
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT - CFO
Name : MR. KEVIN P BRESLIN
Credential :
Telephone Number : 201-242-4000
Provider Enumeration Date : 08/31/2006
Last Update Date : 08/22/2020

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Directions to “4700 CLIFF VIEW DRIVE OPERATING COMPANY LLC ” Practice Location

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