# GROUSE VALLEY MANOR

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Dexter Care Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1427104009
- **Authorized official:** MS. KAREN M WILKERSON (ADMINISTRATOR)
- **Authorized official phone:** (620) 876-5421

## Contact information

- **Practice address:** 315 S MAIN, DEXTER, KS 67038
- **Practice address phone:** (620) 876-5421
- **Mailing address:** 315 S MAIN, DEXTER, KS 67038
- **Mailing address phone:** (620) 876-5421

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | N018002 | KS | Yes |

## Other

- **Enumeration date:** 01/26/2007
- **Last updated:** 03/30/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100109470A | — | KS |
| 05 | — | 100109470B | — | KS |