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Organization
RL FOUNTAINWOOD 1
Active
Organization
RL FOUNTAINWOOD 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSIE ENGELS RN (OWNER)
(316) 992-2119
Entity
Organization
Contact information
Practice address
2004 FOUNTAINWOOD, HUTCHINSON, KS 67502-2662
(620) 259-8033
(620) 259-8043
Mailing address
2004 FOUNTAINWOOD, HUTCHINSON, KS 67502-2662
(620) 259-8033
(620) 259-8043
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B040002
KS
Other
Enumeration date
02/22/2016
Last updated
02/22/2016
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