| NPI | 1295777969 |
|---|---|
| Doing Business As | INNOVATIVE SENIOR CARE AT TOWN VILLAGE LEAWOOD |
| Entity Type | Organization |
| Authorized Contact | BRYAN RICHARDSON EVP/CAO 615-221-2250 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QP2000X Clinic/Center, Physical Therapy |
| Enumeration Date | 2006-06-10 |
| Last Update Date | 2011-02-07 |