3rd St Healthcare LLC
Skilled Nursing Facility in Lees Summit, MO. Organization (NPI-2).
NPI number1447934591
StatusActive
Last updated in NPPESJun 9, 2023
Details
- NPI
- 1447934591
- Entity type
- Organization (NPI-2)
- Legal business name
- 3rd St Healthcare LLC
- Organization subpart
- No
- Enumeration date
- Jun 9, 2023
- Certification date
- Jun 9, 2023
- Last updated
- Jun 9, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | – | – | Yes |
Other names
- Lee'S Summit Place (Doing Business As)
Practice location
1501 Sw 3rd StLees Summit, MO 64081-2424
Phone 816-525-6300
Mailing address
11012 Canyon Rd E Ste 8Puyallup, WA 98373-3002
Authorized official
William Miller
Authorized Person
2532682410
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