# MEDICALODGES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Gran Villas Wamego
- **Organization subpart:** No

## Provider details

- **NPI number:** 1568543346
- **Authorized official:** MS. CATHY W FISHER (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (620) 251-6700

## Contact information

- **Practice address:** 1607 4TH ST, WAMEGO, KS 66547-1915
- **Practice address phone:** (785) 456-8997
- **Practice address fax:** (785) 456-8796
- **Mailing address:** 1607 4TH ST, WAMEGO, KS 66547-1915
- **Mailing address phone:** (785) 456-8997
- **Mailing address fax:** (785) 456-8796

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | N075006 | KS | Yes |
| 261QA0600X | Adult Day Care Clinic/Center | N075006 | KS | — |
| 332BC3200X | Customized Equipment (DME) | N075006 | KS | — |

## Other

- **Enumeration date:** 10/18/2006
- **Last updated:** 08/09/2008