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Organization
KINGMAN COUNTY RETIREMENT HOME ASSOCIATION
Active
Organization
KINGMAN COUNTY RETIREMENT HOME ASSOCIATION
Active
Other names
The Wheatlands Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KEENY (BOARD PRESIDENT)
(620) 532-5801
Entity
Organization
Contact information
Practice address
750 W WASHINGTON AVE, KINGMAN, KS 67068-2000
(620) 532-5801
(620) 532-5587
Mailing address
750 W WASHINGTON AVE, KINGMAN, KS 67068-2000
(620) 532-5801
(620) 532-5587
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
100072620A
KS
313M00000X
Nursing Facility/Intermediate Care Facility
100111790A
KS
314000000X
Skilled Nursing Facility
Primary
175521
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072620A
—
KS
05
—
100111790A
—
KS
Enumeration date
01/02/2007
Last updated
06/23/2020
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