Organization
WATHENA HEALTHCARE AND REHABILITATION CENTER, LLC
Active
Parent organization
SUMMIT CARE LLC
Other names
Wathena Healthcare and Rehabilitation Center
Organization subpart
Yes
Provider details
NPI number
Legal business name
SUMMIT CARE LLC
Authorized official
MICHAEL T. BERG (ASSISTANT SECRETARY)
(505) 468-4752
Entity
Organization
Contact information
Practice address
2112 HIGHWAY 36, WATHENA, KS 66090
(785) 989-3141
Mailing address
2112 HIGHWAY 36, WATHENA, KS 66090
(785) 989-3141
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N022001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20304660A
—
KS
Enumeration date
07/11/2006
Last updated
05/10/2016
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