Organization
SASS, INC.
Active
Other names
Hillside Guest Home
Organization subpart
No
Provider details
NPI number
Authorized official
MS. DEBRA RENE' MORTER (PRESIDENT)
(620) 223-6132
Entity
Organization
Contact information
Practice address
1115 227TH ST, FORT SCOTT, KS 66701-8703
(620) 223-6132
Mailing address
1115 227TH ST, FORT SCOTT, KS 66701-8703
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
B-006-003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100352430A
—
KS
Enumeration date
12/03/2007
Last updated
12/03/2007
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