Organization
CLYDE DEVELOPMENT INC
Active
Other names
Park Villa
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID L SCOTT ACHA, LBSW (ADMINISTRATOR/SOCIAL WORKER)
(785) 446-2518
Entity
Organization
Contact information
Practice address
114 SOUTH HIGH, CLYDE, KS 66938-9472
(785) 446-2818
(785) 446-2288
Mailing address
114 SOUTH HIGH, CLYDE, KS 66938-9472
(785) 446-2818
(785) 446-2288
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
314000000X
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109300A
—
KS
Enumeration date
07/05/2006
Last updated
10/14/2024
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