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Organization
CENTERS FOR LONG TERM CARE OF BONNER SPRINGS, INC
Active
Organization
CENTERS FOR LONG TERM CARE OF BONNER SPRINGS, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY TREBERT (CEO)
(817) 359-2000
Entity
Organization
Contact information
Practice address
520 E MORSE AVE, BONNER SPRINGS, KS 66012-1911
(913) 441-2515
(913) 441-2118
Mailing address
PO BOX 155635, FORT WORTH, TX 76155-0635
(817) 359-2000
(817) 359-2093
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042073101
—
KS
Enumeration date
03/29/2006
Last updated
08/22/2020
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