# PRESBYTERIAN MANORS, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Manor of the Plains
- **Organization subpart:** No

## Provider details

- **NPI number:** 1346344660
- **Authorized official:** MR. WILLIAM M WARD JR. (PRESIDENT/CEO)
- **Authorized official phone:** (316) 685-1100

## Contact information

- **Practice address:** 200 CAMPUS DR, DODGE CITY, KS 67801-2760
- **Practice address phone:** (620) 225-1928
- **Practice address fax:** (620) 225-3982
- **Mailing address:** PO BOX 20440, WICHITA, KS 67208-1440
- **Mailing address phone:** (316) 685-1100
- **Mailing address fax:** (316) 685-2900

## Taxonomy

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

## Other

- **Enumeration date:** 09/08/2006
- **Last updated:** 08/18/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 100024040E | HCBS | KS |
| 01 | — | 1001 | BLUE CROSS | KS |
| 05 | — | 100111810A | — | KS |
| 01 | — | 17D0648398 | CLIA | KS |