Organization
GREAT BEND-LTC, LLC
Active
Other names
Great Bend Health & Rehabilitation Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAREN G DOUSTON (MEMBER CFO)
(678) 522-2436
Entity
Organization
Contact information
Practice address
1560 K 96 HWY, GREAT BEND, KS 67530-3012
(678) 522-2436
(770) 663-4539
Mailing address
10945 STATE BRIDGE RD, SUITE 401-470, ALPHARETTA, GA 30022-8164
(678) 522-2436
(770) 663-4539
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
10/25/2011
Last updated
11/12/2015
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