Organization
RL DODGE CITY 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACEE JOY BARTLEY (ADMINISTRATOR, OPERATOR)
(620) 290-3936
Entity
Organization
Contact information
Practice address
2800 6TH AVE STE 2, DODGE CITY, KS 67801-2478
(620) 290-3936
(620) 371-5135
Mailing address
2800 6TH AVE STE 2, DODGE CITY, KS 67801-2478
(620) 290-3936
(620) 371-5135
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
07/10/2023
Last updated
07/10/2023
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