Organization
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Organization subpart
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Provider details
NPI number
Authorized official
MICHELLE LYNN NEUFELD RN (ADMINISTRATOR)
(620) 585-6411
Entity
Organization
Contact information
Practice address
108 N WALNUT ST, INMAN, KS 67546-8016
(620) 585-6411
(620) 585-6504
Mailing address
PO BOX 249, 108 N WALNUT ST, INMAN, KS 67546-0249
(620) 585-6411
(620) 585-6504
Taxonomy
Speciality
Code
Description
License number
State
261QA0600X
Adult Day Care Clinic/Center
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112250A
—
KS
Enumeration date
03/14/2006
Last updated
02/23/2023
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