# QUAKER HILL NURSING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Quaker Hill Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1720086416
- **Authorized official:** MR. JAMES REIKER (TREASURER)
- **Authorized official phone:** (573) 471-1113

## Contact information

- **Practice address:** 8675 SE 72ND TER, BAXTER SPRINGS, KS 66713-3186
- **Practice address phone:** (620) 848-3797
- **Practice address fax:** (620) 878-3017
- **Mailing address:** 8675 SE 72ND TER, BAXTER SPRINGS, KS 66713-3186
- **Mailing address phone:** (620) 848-3797
- **Mailing address fax:** (620) 878-3017

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N011006 | KS | Yes |

## Other

- **Enumeration date:** 07/07/2005
- **Last updated:** 01/29/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0100111580 | — | KS |
