Organization
LIBERAL SNF OP CO LLC
Active
Parent organization
LIBERAL SNF HOLDCO LLC
Other names
WHEATRIDGE PARK CARE CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
LIBERAL SNF HOLDCO LLC
Authorized official
DEAN KIKLIS (MEMBER)
(303) 952-9216
Entity
Organization
Contact information
Practice address
1501 S HOLLY DR, LIBERAL, KS 67901-2156
(620) 624-0130
Mailing address
1501 S HOLLY DR, LIBERAL, KS 67901-2156
(620) 624-0130
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/03/2015
Last updated
03/03/2015
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