# DESERET NURSING AND REHABILITATION AT YATES CENTER, INC

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

## Provider details

- **NPI number:** 1851398440
- **Authorized official:** JON ROBERTSON (OWNER)
- **Authorized official phone:** (801) 296-5105

## Contact information

- **Practice address:** 801 S FRY ST, YATES CENTER, KS 66783-1640
- **Practice address phone:** (620) 625-2111
- **Practice address fax:** (620) 625-3630
- **Mailing address:** 801 S FRY ST, YATES CENTER, KS 66783-1640
- **Mailing address phone:** (620) 625-2111
- **Mailing address fax:** (620) 625-3630

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N104001 | KS | Yes |

## Other

- **Enumeration date:** 06/28/2005
- **Last updated:** 08/11/2008

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1042033401 | — | KS |