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Organization
MYSTERE LIVING & HEALTHCARE, INC.
Active
Organization
MYSTERE LIVING & HEALTHCARE, INC.
Active
Other names
Wellsville Health & Rehab, Wellsville Manor
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT G AVERILL (OWNER)
(785) 883-4101
Entity
Organization
Contact information
Practice address
304 W 7TH ST, WELLSVILLE, KS 66092-7800
(785) 883-4101
Mailing address
304 W 7TH ST, WELLSVILLE, KS 66092-7800
(785) 883-4101
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
N030004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2011567760B
—
KS
Enumeration date
02/13/2008
Last updated
10/26/2022
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