Organization
LINCOLN PARK MANOR INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTEN L ROBINSON (ADMINISTRATOR, OWNER)
(785) 524-4428
Entity
Organization
Contact information
Practice address
922 N 5TH ST, LINCOLN, KS 67455-1602
(785) 524-4428
(785) 524-3522
Mailing address
1842 K 18, BENNINGTON, KS 67422-9000
(785) 820-0309
(785) 524-3522
Taxonomy
Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
A053003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100066240A
—
KS
05
—
100066240B
—
KS
05
—
100066240C
—
KS
Enumeration date
03/31/2009
Last updated
03/31/2009
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