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Organization
CHERRY VILLAGE BENEVOLENCE, INC.
Active
Organization
CHERRY VILLAGE BENEVOLENCE, INC.
Active
Other names
Cherry Village
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. PAMLA SUE LEWIS R.N. (ADMINISTRATOR)
(620) 792-2165
Entity
Organization
Contact information
Practice address
1401 CHERRY LN, GREAT BEND, KS 67530-3152
(620) 792-2165
(620) 793-6341
Mailing address
1401 CHERRY LN, GREAT BEND, KS 67530-3152
(620) 792-2165
(620) 793-6341
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
N005001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
31400000X
TAXONOMY
KS
Enumeration date
03/20/2007
Last updated
08/22/2020
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