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VILLAGE SHALOM, INC

Alzheimer Center

Overland Park, Kansas

Provider NPI: 1316908163

Organization Information:
Organization Name:  VILLAGE SHALOM, INC


Practice Location:
5500 W 123RD ST  OVERLAND PARK, KS 66209 US
Tel: 913-317-2600  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
N311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
KSN046054
N261QA0600XAmbulatory Health Care Facilities
Clinic/Center
KSN046054
N310400000XNursing & Custodial Care Facilities
Assisted Living Facility
KSN046054
Y314000000XNursing & Custodial Care Facilities
Skilled Nursing Facility
KSN046054

Other Provider Identifiers:

IssuerNumberStateType
BCBS PROVIDER NUMBER90924016KS01
100112060AKS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ALZHEIMERS JOBS KS - Page 1



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