Organization
GARDEN VALLEY RETIREMENT VILLAGE, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DEAN KIKLIS (CFO)
(303) 952-9216
Entity
Organization
Contact information
Practice address
1505 EAST SPRUCE STREET, GARDEN CITY, KS 67846
(620) 275-9651
(620) 275-6582
Mailing address
1505 EAST SPRUCE STREET, GARDEN CITY, KS 67846
(620) 275-9651
(620) 275-6582
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041134501
—
KS
Enumeration date
09/04/2009
Last updated
05/26/2015
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