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NPI Code Detail

MEDICARE: KC TRANSITIONAL CARE CENTER, LLC

MEDICARE: KC TRANSITIONAL CARE CENTER, 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 : 1386182244
Entity Type Code : Organization
Provider Name (Legal Business Name) : KC TRANSITIONAL CARE CENTER, LLC
Provider Business Mailing Address
First Line : 3910 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2946
Country : US
Telephone Number : 913-901-8462
Fax Number : 323-900-0285
Provider Business Practice Location Address
First Line : 3910 RAINBOW BLVD
Second Line :
City : KANSAS CITY
State : KS
Zip : 66103-2946
Country : US
Telephone Number : 913-901-8462
Fax Number : 323-900-0285
Authorized Official
Title or Position : OWNER
Name : SOL GURWITZ
Credential :
Telephone Number : 323-505-4382
Provider Enumeration Date : 02/10/2017
Last Update Date : 03/12/2017

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Directions to “KC TRANSITIONAL CARE CENTER, LLC ” Practice Location

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