Organization
DISTRICT NO 1 OF LINN AND BOURBON COUNTIES KANSAS
Active
Other names
Prescott Country View Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NEIL DOUGLAS OSTLIE (ADMINISTRATOR)
(913) 471-4315
Entity
Organization
Contact information
Practice address
301 EAST MILLER ST., PRESCOTT, KS 66767-4103
(913) 471-4315
(913) 471-4838
Mailing address
301 EAST MILLER ST., PRESCOTT, KS 66767-4103
(913) 471-4315
(913) 471-4838
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-051-001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109130A
—
KS
Enumeration date
10/04/2006
Last updated
06/04/2015
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