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Organization
MEDICALODGES, INC.
Active
Organization
MEDICALODGES, INC.
Active
Other names
Gran Villas Atchison
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER)
(620) 251-6700
Entity
Organization
Contact information
Practice address
1635 RILEY ST, ATCHISON, KS 66002-1518
(913) 367-2077
(913) 367-1755
Mailing address
1635 RILEY ST, ATCHISON, KS 66002-1518
(913) 367-2077
(913) 367-1755
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
N003004
KS
261QA0600X
Adult Day Care Clinic/Center
N003004
KS
332B00000X
Durable Medical Equipment & Medical Supplies
N003004
KS
332BC3200X
Customized Equipment (DME)
N003004
KS
Other
Enumeration date
10/18/2006
Last updated
06/23/2008
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