Organization
SENIOR HEALTHCARE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DANA E MORTON (ARNP)
(316) 992-1591
Entity
Organization
Contact information
Practice address
2921 W 1ST ST, COFFEYVILLE, KS 67337-2441
(620) 251-5190
Mailing address
302 SOUTHERN HILLS DR, COFFEYVILLE, KS 67337-9623
(316) 992-1591
Taxonomy
Speciality
Code
Description
License number
State
364SG0600X
Gerontology Clinical Nurse Specialist
Primary
74308
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100447400A
—
KS
Enumeration date
10/17/2011
Last updated
10/17/2011
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