Organization
LEONARDVILLE NURSING HOME, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. GLENDA BRENNER (ADM. ASSIST.)
(785) 293-5244
Entity
Organization
Contact information
Practice address
409 W BARTON RD, LEONARDVILLE, KS 66449-2023
(785) 293-5244
(785) 293-5574
Mailing address
PO BOX 148, LEONARDVILLE, KS 66449-0148
(785) 293-5244
(785) 293-5574
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-081-002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100023180A
ADULT DAY CARE
KS
05
—
100108870A
—
KS
Enumeration date
07/28/2006
Last updated
03/12/2012
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