Organization
PHILLIPS COUNTY RETIREMENT CORPORATION
Active
Other names
Phillips County Retirement Center
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. KRISTI KUCK (ADMINISTRATOR)
(785) 543-2131
Entity
Organization
Contact information
Practice address
1300 STATE STREET, PHILLIPSBURG, KS 67661
(785) 543-2131
(785) 543-5200
Mailing address
1300 STATE STREET, P.O. BOX 628, PHILLIPSBURG, KS 67661
(785) 543-2131
(785) 543-5200
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
N074003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110111750A
—
KS
01
—
N074003
STATE I.D.
KS
Enumeration date
03/09/2007
Last updated
06/26/2012
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