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Organization
CHEYENNE LODGE INC.
Active
Organization
CHEYENNE LODGE INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOSEPH FUENTEZ (ADMINISTRATOR)
(785) 439-6211
Entity
Organization
Contact information
Practice address
716 CEDAR ST, JAMESTOWN, KS 66948-3007
(785) 439-6211
(785) 439-6210
Mailing address
716 CEDAR ST, JAMESTOWN, KS 66948-3007
(785) 439-6211
(785) 439-6210
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
N-015-001
KS
314000000X
Skilled Nursing Facility
N-015-001
KS
Other
Enumeration date
02/01/2006
Last updated
09/11/2025
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