Organization
WOODWORTH ENTERPRISES, INC.
Active
Parent organization
WOODWORTH ENTERPRISES, INC.
Other names
CHETOPA MANOR
Organization subpart
Yes
Provider details
NPI number
Legal business name
WOODWORTH ENTERPRISES, INC.
Authorized official
MR. BRAD WOODWORTH (GENERAL MANAGER)
(620) 421-2431
Entity
Organization
Contact information
Practice address
814 WALNUT ST, CHETOPA, KS 67336-8990
(620) 236-7248
(620) 236-7919
Mailing address
1217 S 15TH ST, PARSONS, KS 67357-5125
(620) 421-2431
(620) 423-3432
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N050001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109870A
—
KS
Enumeration date
07/08/2005
Last updated
08/10/2012
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