# WHEATLAND NURSING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wheatland Nursing & Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1790783496
- **Authorized official:** MR. JAMES REIKER (TREASURER)
- **Authorized official phone:** (573) 471-1113

## Contact information

- **Practice address:** 320 S LINCOLN ST, RUSSELL, KS 67665-2910
- **Practice address phone:** (785) 483-5364
- **Practice address fax:** (785) 483-4981
- **Mailing address:** 320 S LINCOLN ST, RUSSELL, KS 67665-2910
- **Mailing address phone:** (785) 483-5364
- **Mailing address fax:** (785) 483-4981

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N084003 | KS | Yes |

## Other

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

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 0100111410 | — | KS |
