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Organization
VILLA MARIA, INC.
Active
Organization
VILLA MARIA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. REBECCA R MURRAY (ADMINISTRATOR)
(316) 777-1129
Entity
Organization
Contact information
Practice address
116 S CENTRAL AVE, MULVANE, KS 67110-1718
(316) 777-1129
(316) 777-4406
Mailing address
116 S CENTRAL AVE, MULVANE, KS 67110-1718
(316) 777-1129
(316) 777-4406
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N096007
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109490A
—
KS
01
—
N096007
STATE LICENSE NUMBER
KS
Enumeration date
09/22/2005
Last updated
03/22/2010
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