# MYSTERE LIVING & HEALTHCARE, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wellsville Health & Rehab, Wellsville Manor
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851569818
- **Authorized official:** SCOTT G AVERILL (OWNER)
- **Authorized official phone:** (785) 883-4101

## Contact information

- **Practice address:** 304 W 7TH ST, WELLSVILLE, KS 66092-7800
- **Practice address phone:** (785) 883-4101
- **Mailing address:** 304 W 7TH ST, WELLSVILLE, KS 66092-7800
- **Mailing address phone:** (785) 883-4101

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | N030004 | KS | Yes |

## Other

- **Enumeration date:** 02/13/2008
- **Last updated:** 10/26/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 2011567760B | — | KS |