Organization
MARKLEYSBURG HEALTHCARE INVESTORS, L.P.
Active
Other names
Wellsville Manor Care Center
Organization subpart
No
Provider details
NPI number
Authorized official
DOUGLAS K MITTLEIDER (PRESIDENT)
(770) 619-0866
Entity
Organization
Contact information
Practice address
304 W 7TH ST, WELLSVILLE, KS 66092-7800
(785) 883-4101
(785) 883-2200
Mailing address
304 W 7TH ST, WELLSVILLE, KS 66092-7800
(785) 883-4101
(785) 883-2200
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N030004
KS
332BN1400X
Nursing Facility Supplies (DME)
651
GA
332BP3500X
Parenteral & Enteral Nutrition Supplies (DME)
651
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042039101
—
KS
Enumeration date
07/09/2006
Last updated
02/25/2008
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