Organization
ST ROSE HEALTHCARE CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN H JETER M.D. (PRESIDENT & CEO)
(785) 623-5523
Entity
Organization
Contact information
Practice address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
(620) 792-2511
Mailing address
3515 BROADWAY AVE, GREAT BEND, KS 67530-3633
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
Other
Enumeration date
10/01/2014
Last updated
10/01/2014
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