Organization
AUSTIN INC.
Active
Other names
Eventide Convalescent Center inc
Organization subpart
No
Provider details
NPI number
Authorized official
MR. M. MAC AUSTIN (ADMINISTRATOR OWNER)
(785) 233-8918
Entity
Organization
Contact information
Practice address
2015 SE 10TH AVE, TOPEKA, KS 66607-1615
(785) 233-8918
(785) 233-4212
Mailing address
2015 SE 10TH AVE, TOPEKA, KS 66607-1615
(785) 233-8918
(785) 233-4212
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N089004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107610A
—
KS
Enumeration date
07/21/2006
Last updated
06/07/2013
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