# PRAIRIE MISSION RETIREMENT VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1134159452
- **Authorized official:** MS. BRENDA K. THORNTON (ADMINISTRATOR)
- **Authorized official phone:** (620) 449-2400

## Contact information

- **Practice address:** 242 CARROLL ST, SAINT PAUL, KS 66771-4044
- **Practice address phone:** (620) 449-2400
- **Practice address fax:** (620) 449-2564
- **Mailing address:** 242 CARROLL ST, SAINT PAUL, KS 66771-4044
- **Mailing address phone:** (620) 449-2400
- **Mailing address fax:** (620) 449-2564

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N-067-007 | KS | Yes |

## Other

- **Enumeration date:** 07/03/2006
- **Last updated:** 08/22/2020