Organization
MEDICALODGES, INC.
Active
Other names
Medicalodges Paola
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CATHY W FISHER (V.P. OF FINANCIAL REPORTING)
(620) 251-6700
Entity
Organization
Contact information
Practice address
501 ASSEMBLY LN, PAOLA, KS 66071-1854
(913) 294-3345
(913) 294-3115
Mailing address
501 ASSEMBLY LN, PAOLA, KS 66071-1854
(913) 294-3345
(913) 294-3115
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N061002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109750A
—
KS
Enumeration date
10/10/2006
Last updated
07/30/2009
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