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Organization
SHEPHERD OF THE PLAINS FOUNDATION
Active
Organization
SHEPHERD OF THE PLAINS FOUNDATION
Active
Other names
The Shepherd's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN ELIZABETH BRYANT RN ADMINISTRATOR (ADMINISTRATOR)
(620) 855-3498
Entity
Organization
Contact information
Practice address
706 N. MAIN, CIMARRON, KS 67835-0249
(620) 855-3498
(620) 855-2381
Mailing address
706 N. MAIN, P.O. BOX 249, CIMARRON, KS 67835-0249
(620) 855-3498
(620) 855-2381
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NO35002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109530A
—
KS
Enumeration date
03/16/2007
Last updated
06/15/2012
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