Organization
PRESBYTERIAN MANORS, INC.
Active
Parent organization
PRESBYTERIAN MANORS, INC.
Other names
Aberdeen Village
Organization subpart
Yes
Provider details
NPI number
Legal business name
PRESBYTERIAN MANORS, INC.
Authorized official
BEVERLY WOODSMALL (CFO/TREASURER)
(316) 652-6242
Entity
Organization
Contact information
Practice address
17500 W 119TH ST, OLATHE, KS 66061-9524
(913) 599-6100
(913) 599-3810
Mailing address
PO BOX 20440, WICHITA, KS 67208-1440
(316) 685-1100
(316) 685-2900
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N/A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112090A
—
KS
01
—
17D0988082
CLIA
KS
01
—
709612
BLUE CROSS
KS
Enumeration date
08/31/2006
Last updated
01/20/2015
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