# TREGO MANOR, INC

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

## Provider details

- **NPI number:** 1356589899
- **Authorized official:** SANDRA K. CLINE (ADMINISTRATOR)
- **Authorized official phone:** (785) 743-5787

## Contact information

- **Practice address:** 320 SOUTH AVE, WAKEENEY, KS 67672-2649
- **Practice address phone:** (785) 743-5787
- **Practice address fax:** (785) 743-5364
- **Mailing address:** PO BOX 427, WAKEENEY, KS 67672-0427
- **Mailing address phone:** (785) 743-5787
- **Mailing address fax:** (785) 743-5364

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 01/21/2009
- **Last updated:** 10/25/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1042086501 | — | KS |