| NPI | 1093286395 |
|---|---|
| Doing Business As | CEDAR RIDGE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | SCOTT GULLEDGE Manager By Contract 913-890-4780 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2018-12-12 |
| Last Update Date | 2018-12-12 |