# LEONARDVILLE NURSING HOME, INC

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

## Provider details

- **NPI number:** 1265446041
- **Authorized official:** MS. GLENDA BRENNER (ADM. ASSIST.)
- **Authorized official phone:** (785) 293-5244

## Contact information

- **Practice address:** 409 W BARTON RD, LEONARDVILLE, KS 66449-2023
- **Practice address phone:** (785) 293-5244
- **Practice address fax:** (785) 293-5574
- **Mailing address:** PO BOX 148, LEONARDVILLE, KS 66449-0148
- **Mailing address phone:** (785) 293-5244
- **Mailing address fax:** (785) 293-5574

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N-081-002 | KS | Yes |

## Other

- **Enumeration date:** 07/28/2006
- **Last updated:** 03/12/2012

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100023180A | ADULT DAY CARE | KS |
| 05 | — | 100108870A | — | KS |