Organization
RL DODGE CITY 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN ENGELS (MEMBER)
(316) 992-2119
Entity
Organization
Contact information
Practice address
2800 6TH AVE, DODGE CITY, KS 67801-2478
(620) 371-3838
Mailing address
2800 6TH AVE, DODGE CITY, KS 67801-2478
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B029001
KS
311ZA0620X
Adult Care Home Facility
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Other
Enumeration date
11/06/2017
Last updated
11/06/2017
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