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Organization

CHEYENNE LODGE INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. JOSEPH FUENTEZ (ADMINISTRATOR)
(785) 439-6211
Entity
Organization

Contact information

Practice address
716 CEDAR ST, JAMESTOWN, KS 66948-3007
(785) 439-6211
(785) 439-6210
Mailing address
716 CEDAR ST, JAMESTOWN, KS 66948-3007
(785) 439-6211
(785) 439-6210

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
N-015-001
KS
314000000X
Skilled Nursing Facility
N-015-001
KS

Other

Enumeration date
02/01/2006
Last updated
09/11/2025
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