Organization
HILLTOP LODGE, INC.
Active
Other names
Hilltop Lodge Nursing Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. BRADLEY JAY HEIDRICK (VICE PRESIDENT)
(785) 738-3516
Entity
Organization
Contact information
Practice address
815 N. INDEPENDENCE AVE, BELOIT, KS 67420-0467
(785) 738-3516
(785) 738-2332
Mailing address
P.O. BOX 467, BELOIT, KS 67420-0467
(785) 738-3516
(785) 738-2332
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N062001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108300A
—
KS
Enumeration date
12/20/2005
Last updated
11/07/2011
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