Organization
PIONEER MANOR
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LORI L RODRIGUEZ (ADMINISTRATOR)
(620) 544-2023
Entity
Organization
Contact information
Practice address
6TH ST AND S POLK, HUGOTON, KS 67951-0758
(620) 544-2023
Mailing address
PO BOX 758, 6TH AND POLK, HUGOTON, KS 67951-0758
(620) 544-2023
(620) 544-4073
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
17E546
KS
Other
Enumeration date
10/14/2005
Last updated
08/22/2020
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