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Organization

TWO TIMBERS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. PAMELA J TWOMBLY LPN (OWNER/OPERATOR)
(785) 442-4444
Entity
Organization

Contact information

Practice address
101 E VIRGINIA ST, HIGHLAND, KS 66035-4005
(785) 442-4444
(785) 444-4444
Mailing address
101 E VIRGINIA ST, HIGHLAND, KS 66035-4005
(785) 442-4444
(785) 444-4444

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B022001
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
01918807
KS
Enumeration date
12/03/2013
Last updated
02/10/2014
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