Organization
JEWEL HEALTHCARE, LLC
Active
Other names
Emporia Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JOHN LARSON ATTORNEY (REGISTERED AGENT)
(816) 322-8113
Entity
Organization
Contact information
Practice address
221 W LOGAN AVE, EMPORIA, KS 66801-4661
(620) 342-4212
(620) 342-6523
Mailing address
12120 STATE LINE RD # 372, LEAWOOD, KS 66209-1254
(816) 322-8113
(816) 322-6671
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N056002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000000938
BCBS PROVIDER NUMBER
KS
Enumeration date
05/22/2007
Last updated
08/22/2020
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