Organization
HAVILAND OPERATOR, LLC
Active
Other names
Haviland Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART LINDEMAN (CEO)
(813) 440-8345
Entity
Organization
Contact information
Practice address
200 N. MAIN STREET, HAVILAND, KS 67059-9525
(620) 862-5291
(620) 862-5233
Mailing address
200 N. MAIN STREET, HAVILAND, KS 67059-9525
(620) 862-5291
(620) 862-5233
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N049002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200740080A
—
KS
Enumeration date
03/15/2011
Last updated
08/14/2015
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