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Organization
PROTECTION VALLEY MANOR, INC.
Active
Organization
PROTECTION VALLEY MANOR, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SWEDE CLAYTON SWAGERTY ACHA (ADMINISTRATOR)
(620) 622-4261
Entity
Organization
Contact information
Practice address
600 S. BROADWAY, PROTECTION, KS 67127-8801
(620) 622-4261
(620) 622-4270
Mailing address
600 S. BROADWAY, PROTECTION, KS 67127-8801
(620) 622-4261
(620) 622-4270
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NO172002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109200A
—
KS
Enumeration date
10/26/2006
Last updated
11/09/2012
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