Village Villa, Inc.

Organization Active NPI Skilled Nursing Facility · Nortonville, KS

NPI 1770560856 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1770560856
Entity type
Organization (NPI type 2)
Primary specialty
Skilled Nursing Facility 314000000X
License
N044003 (KS)
Legal business name
VILLAGE VILLA, INC.
Practice address
412 E Walnut St
Nortonville, KS 66060-4008
Phone
(913) 886-6400
Fax
(913) 886-8695
NPI assigned
Dec 29, 2005
Organization subpart
No

Authorized official

Name
Tracy L Bartley
Title
Chief Financial Officer
Phone
(785) 273-3383

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X N044003 KS Yes

Addresses

Primary practice location

412 E Walnut St
Nortonville, KS 66060-4008

Mailing address

PO Box 346
Nortonville, KS 66060-0346
Phone (913) 886-6400

Other identifiers

IdentifierTypeStateIssuer
001022OtherKSBCBS

Other providers in Nortonville, KS

All providers in Nortonville, KS · Skilled Nursing Facility in Kansas

Sources for this page

Verify at the official NPI Registry.