Organization
MARIA COURT
Active
Parent organization
VILLA MARIA, INC.
Other names
Villa Maria, Inc.
Organization subpart
Yes
Provider details
NPI number
Legal business name
VILLA MARIA, INC.
Authorized official
TERESA BALLARD (EXECUTIVE DIRECTOR)
(316) 777-9917
Entity
Organization
Contact information
Practice address
633 E MAIN ST, MULVANE, KS 67110-1781
(316) 777-9917
Mailing address
633 E MAIN ST, MULVANE, KS 67110-1781
(316) 777-9917
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311Z00000X
Custodial Care Facility
Primary
N096011
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109490B
—
KS
01
—
N096011
STATE LICENSE
KS
Enumeration date
03/14/2007
Last updated
02/12/2019
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