Organization · Type 2 NPI

Mission Lake Convalescent Center Inc.

Skilled Nursing Facility · Kansas City, MO

NPI number 1770528986 Active

Practice location

12110 Holmes Rd
Kansas City, MO 64145-1707

Call (816) 941-3006 Map

Fax (816) 942-8049

Specialties and licenses

TaxonomyCodeLicense
Skilled Nursing Facility Primary 314000000X034738 (MO)
Nursing Facility Supplies (DME) 332BN1400X032111 (MO)
Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X032111 (MO)

Skilled Nursing Facility: (1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to r…

4 other providers at this address

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About NPI 1770528986

Mission Lake Convalescent Center Inc.'s National Provider Identifier is 1770528986, issued on Jun 19, 2006. The primary taxonomy on file is Skilled Nursing Facility (314000000X), and the practice location is in Kansas City, MO. The record was last updated on Feb 19, 2013.