Organization
MASONS MEMORY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY THORNBRUGH OWNER (OWNER)
(785) 242-8882
Entity
Organization
Contact information
Practice address
2534 S MAIN ST STE C, OTTAWA, KS 66067-9555
(785) 242-8882
(785) 242-8305
Mailing address
2534 S MAIN ST STE C, OTTAWA, KS 66067-9555
(785) 242-8882
(785) 242-8305
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A030002
KS
Other
Enumeration date
11/10/2006
Last updated
08/22/2020
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