Organization
GROUSE VALLEY MANOR
Active
Other names
Dexter Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN M WILKERSON (ADMINISTRATOR)
(620) 876-5421
Entity
Organization
Contact information
Practice address
315 S MAIN, DEXTER, KS 67038
(620) 876-5421
Mailing address
315 S MAIN, DEXTER, KS 67038
(620) 876-5421
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
N018002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109470A
—
KS
05
—
100109470B
—
KS
Enumeration date
01/26/2007
Last updated
03/30/2009
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