Organization
MANASSEH HEALTH LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT EDWARD GULLEDGE (MGR OF LLC)
(913) 485-5164
Entity
Organization
Contact information
Practice address
808 N 8TH ST, SENECA, KS 66538-1419
(785) 336-2156
(785) 336-3881
Mailing address
808 N 8TH ST, SENECA, KS 66538-1419
(785) 336-2156
(785) 336-3881
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N066-003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100445610A
—
KS
Enumeration date
04/15/2006
Last updated
03/19/2010
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