# MT JOSEPH SENIOR VILLAGE LLC

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

## Provider details

- **NPI number:** 1598863763
- **Authorized official:** JANET G. CHAPMAN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (785) 243-1347

## Contact information

- **Practice address:** 1110 W 11TH ST, CONCORDIA, KS 66901-3902
- **Practice address phone:** (785) 243-1347
- **Practice address fax:** (785) 243-1907
- **Mailing address:** 1110 W 11TH ST, CONCORDIA, KS 66901-3902
- **Mailing address phone:** (785) 243-1347
- **Mailing address fax:** (785) 243-1907

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N015003 | KS | Yes |

## Other

- **Enumeration date:** 09/20/2006
- **Last updated:** 06/25/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100108560A | — | KS |