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Organization
MISSION VILLAGE LIVING CENTER, INC
Active
Organization
MISSION VILLAGE LIVING CENTER, INC
Active
Other names
Tri County Manor Living Center, Inc
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA RAASCH (ADMIN/CEO)
(785) 486-2697
Entity
Organization
Contact information
Practice address
1890 EUCLID AVENUE, HORTON, KS 66439
(785) 486-2697
(785) 486-2359
Mailing address
1890 EUCLID AVENUE, HORTON, KS 66439
(785) 486-2697
(785) 486-2359
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
KS
313M00000X
Nursing Facility/Intermediate Care Facility
—
KS
314000000X
Skilled Nursing Facility
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107420A
—
KS
01
—
100107420B
PROFESSIONAL
KS
Enumeration date
01/26/2007
Last updated
08/10/2015
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