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Organization

PRAIRIE SUNSET HOME, INC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REX MARIS (ADMINISTRATOR)
(620) 459-6822
Entity
Organization

Contact information

Practice address
601 E MAIN ST, PRETTY PRAIRIE, KS 67570-9202
(620) 459-6822
(620) 459-7277
Mailing address
601 E MAIN ST, PRETTY PRAIRIE, KS 67570-9202
(620) 459-6822
(620) 459-7277

Taxonomy

Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
N078017
KS
314000000X
Skilled Nursing Facility
Primary
N078017
KS

Other

Enumeration date
12/28/2005
Last updated
04/15/2008
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