Organization
THE NICOL HOME, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. FRANCIS TATRO ADM. (ADMINISTRATOR)
(785) 568-2251
Entity
Organization
Contact information
Practice address
303 E BUFFALO ST, GLASCO, KS 67445-9386
(785) 568-2251
(785) 568-2113
Mailing address
303 E BUFFALO ST, GLASCO, KS 67445-9386
(785) 568-2251
(785) 568-2113
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N015004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108540A
—
KS
01
—
1567
BLUE CROSS BLUE SHIELD
KS
Enumeration date
05/04/2006
Last updated
09/08/2011
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