Grouse Valley Manor

NPI 1427104009 - Nursing Facility/Intermediate Care Facility - 313M00000X

NPI Details
NPI 1427104009
Enumeration Date 01/26/2007
Last Updated 03/30/2009
Entity Type Healthcare Provider
Active Over 9 years ago
Authorized Information
Name KAREN M KAREN
Position ADMINISTRATOR
Phone (620) 876-5421
Fax
Practice Location
315 S MAIN
DEXTER KS, 67038, US
Phone (620) 876-5421
Fax
Business Location
315 S MAIN
DEXTER KS, 67038, US
Phone (620) 876-5421
Fax
Toxanomy
Taxonomy Code 313M00000X
License State Kansas
License Number N018002
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According to our database, Grouse Valley Manor NPI is 1427104009, taxonomy code is 313M00000X and license number is N018002, license state is located at Kansas. Grouse Valley Manor physically located at 315 S Main, Dexter KS, 67038. NPI Number 1033115704 has the healthcare provider type.

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1427104009 NPI number is provided on an as is basis without warranty of any kind. 1427104009 is maintained by the National Plan & Provider Enumeration System. The contents of Grouse Valley Manor are for informational purposes only.