Organization
DESERET NURSING AND REHABILITATION AT ARMA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON ROBERTSON (OWNER)
(801) 296-5105
Entity
Organization
Contact information
Practice address
605. E. MELVIN ST., ARMA, KS 66712-0789
(620) 347-4103
Mailing address
605 E. MELVIN ST, ARMA, KS 66712-0789
(620) 347-4103
(620) 347-4018
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1447
BLUE CROSS BLUE SHIELD
KS
Enumeration date
07/30/2007
Last updated
07/30/2007
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