# MANASSEH HEALTH LLC

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

## Provider details

- **NPI number:** 1538123484
- **Authorized official:** MR. SCOTT EDWARD GULLEDGE (MGR OF LLC)
- **Authorized official phone:** (913) 485-5164

## Contact information

- **Practice address:** 808 N 8TH ST, SENECA, KS 66538-1419
- **Practice address phone:** (785) 336-2156
- **Practice address fax:** (785) 336-3881
- **Mailing address:** 808 N 8TH ST, SENECA, KS 66538-1419
- **Mailing address phone:** (785) 336-2156
- **Mailing address fax:** (785) 336-3881

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N066-003 | KS | Yes |

## Other

- **Enumeration date:** 04/15/2006
- **Last updated:** 03/19/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100445610A | — | KS |