NPI

Ccrc Of Lees Summit, Llc

This page is a copy of the public NPPES file.

Facts

Status
Active
Type
Organization
Enumeration date
2023-05-25
Last updated
2025-03-17

Specialties

Licenses

The registry row did not include a license.

Location

Practice location
1501 Sw Arborwalk Blvd
City
Lee'S Summit MO
Postal code
64082
Phone
(913) 599-5705

Organization contact

Name
GILBERT WOOD
Title
Manager of the LLC
Phone
9135995705

Medicare

PECOS
A PECOS enrollment row matches this NPI.

LEIE

No exclusion found for this NPI in the OIG LEIE file dated October 9, 2026. OIG's online search is the official check.

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Nearby

Other NPIs in Lee's Summit, MO. 99 records in the public file.

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