Organization
MARJORIES HOME OF KINGMAN, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THERESA REGIER (OWNER)
(316) 213-9816
Entity
Organization
Contact information
Practice address
1211 W KELLY AVE, KINGMAN, KS 67068-8168
(316) 213-9816
(620) 553-5045
Mailing address
30912 W 23RD ST S, GARDEN PLAIN, KS 67050-9050
(316) 213-9816
Taxonomy
Speciality
Code
Description
License number
State
251J00000X
Nursing Care Agency
Primary
B048002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
B048002
—
KS
Enumeration date
08/14/2018
Last updated
08/14/2018
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