Organization
DESERET HEALTH GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. NIKKI TEEL (ADMINISTRATOR)
(620) 326-2232
Entity
Organization
Contact information
Practice address
1600 W 8TH ST, WELLINGTON, KS 67152-4719
(620) 326-2232
(620) 326-5769
Mailing address
1600 W 8TH ST, WELLINGTON, KS 67152-4719
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
14-01557
KS
Other
Enumeration date
11/30/2011
Last updated
11/30/2011
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