Organization
CONGREGATIONAL HOME
Active
Other names
Brewster Place
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MELISSA REYNOLDS (CONTROLLER)
(785) 274-3381
Entity
Organization
Contact information
Practice address
1205 SW 29TH ST, TOPEKA, KS 66611-1203
(785) 274-3350
(785) 274-5782
Mailing address
1205 SW 29TH ST, TOPEKA, KS 66611-1203
(785) 274-3350
(785) 274-5782
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N089001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100107350A
—
KS
05
—
100107350B
—
KS
01
—
389
BCBS
KS
Enumeration date
08/25/2005
Last updated
02/02/2010
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