Organization
MT JOSEPH SENIOR VILLAGE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANET G. CHAPMAN (EXECUTIVE DIRECTOR)
(785) 243-1347
Entity
Organization
Contact information
Practice address
1110 W 11TH ST, CONCORDIA, KS 66901-3902
(785) 243-1347
(785) 243-1907
Mailing address
1110 W 11TH ST, CONCORDIA, KS 66901-3902
(785) 243-1347
(785) 243-1907
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N015003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108560A
—
KS
Enumeration date
09/20/2006
Last updated
06/25/2008
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