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Organization
WHEAT HAVEN HOME LLC
Active
Organization
WHEAT HAVEN HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRADLEY PORUBSKY (MEMBER)
(785) 230-0244
Entity
Organization
Contact information
Practice address
304 MARION ST, MCDONALD, KS 67745
(785) 230-0244
Mailing address
PO BOX 87, MC DONALD, KS 67745-0087
(785) 899-9009
(785) 414-5055
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
05/31/2023
Last updated
05/31/2023
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