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Organization
CUMBERNAULD VILLAGE, INC.
Active
Organization
CUMBERNAULD VILLAGE, INC.
Active
Other names
Cumbernauld Village
Organization subpart
No
Provider details
NPI number
Authorized official
BRUCE BLAKE (PRESIDENT OF THE BOARD OF DIRECTORS)
(620) 221-6924
Entity
Organization
Contact information
Practice address
716 TWEED OFC, WINFIELD, KS 67156-1596
(620) 221-4141
(620) 221-4146
Mailing address
716 TWEED OFC OFC, WINFIELD, KS 67156-1595
(620) 221-4141
(620) 221-4146
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N018009
KS
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100111960A
—
KS
Enumeration date
01/30/2007
Last updated
10/22/2021
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