Organization
PRAIRIE MISSION RETIREMENT VILLAGE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA K. THORNTON (ADMINISTRATOR)
(620) 449-2400
Entity
Organization
Contact information
Practice address
242 CARROLL ST, SAINT PAUL, KS 66771-4044
(620) 449-2400
(620) 449-2564
Mailing address
242 CARROLL ST, SAINT PAUL, KS 66771-4044
(620) 449-2400
(620) 449-2564
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-067-007
KS
Other
Enumeration date
07/03/2006
Last updated
08/22/2020
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