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Organization
AUSTIN INC.
Active
Organization
AUSTIN INC.
Active
Other names
Eventide Convalescent Center inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. M. MAC AUSTIN (ADMINISTRATOR OWNER)
(785) 233-8918
Entity
Organization
Contact information
Practice address
2015 SE 10TH AVE, TOPEKA, KS 66607-1615
(785) 233-8918
(785) 233-4212
Mailing address
2015 SE 10TH AVE, TOPEKA, KS 66607-1615
(785) 233-8918
(785) 233-4212
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N089004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107610A
—
KS
Enumeration date
07/21/2006
Last updated
06/07/2013
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