| NPI | 1316322704 |
|---|---|
| Doing Business As | NORTHRIDGE VILLAGE |
| Entity Type | Organization |
| Authorized Contact | SCOTT E GULLEDGE Manager 913-890-4782 |
| Organization Subpart ? | No |
| Primary Taxonomy | 314000000X Skilled Nursing Facility |
| Enumeration Date | 2015-07-27 |
| Last Update Date | 2015-07-27 |