Organization
KINGMAN COUNTY RETIREMENT HOME ASSOCIATION
Active
Other names
The Wheatlands Health Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MARK KEENY (BOARD PRESIDENT)
(620) 532-5801
Entity
Organization
Contact information
Practice address
750 W WASHINGTON AVE, KINGMAN, KS 67068-2000
(620) 532-5801
(620) 532-5587
Mailing address
750 W WASHINGTON AVE, KINGMAN, KS 67068-2000
(620) 532-5801
(620) 532-5587
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
100072620A
KS
313M00000X
Nursing Facility/Intermediate Care Facility
100111790A
KS
314000000X
Skilled Nursing Facility
Primary
175521
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100072620A
—
KS
05
—
100111790A
—
KS
Enumeration date
01/02/2007
Last updated
06/23/2020
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