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Organization
FRANKLIN HEALTHCARE OF PEABODY, LLC
Active
Organization
FRANKLIN HEALTHCARE OF PEABODY, LLC
Active
Other names
Westview Manor of Peabody
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MITTLEIDER (PRESIDENT OF MANAGING MEMBER)
(470) 282-3268
Entity
Organization
Contact information
Practice address
500 PEABODY AVE, PEABODY, KS 66866-1206
(620) 983-2165
(620) 983-2364
Mailing address
3050 ROYAL BLVD S, STE. 190, ALPHARETTA, GA 30022-4427
(470) 282-3268
(470) 268-7957
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
N057002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1542075301
—
KS
Enumeration date
11/05/2015
Last updated
04/03/2017
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