Organization
HCC-HEALTHCARE OF GREAT BEND, LLC
Active
Other names
Great Bend Health and Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS K. MITTLEIDER (PRESIDENT OF SOLE MEMBER)
(770) 619-0866
Entity
Organization
Contact information
Practice address
1560 K96 HIGHWAY, GREAT BEND, KS 67530
(620) 792-2448
(620) 792-3458
Mailing address
1560 K96 HIGHWAY, GREAT BEND, KS 67530
(620) 792-2448
(620) 792-3458
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N005002
KS
Other
Enumeration date
11/01/2006
Last updated
08/22/2020
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