Organization
HARTFORD, INC.
Active
Other names
Pine Place
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. BRENDA S SHERWOOD (CEP PRESIDENT)
(785) 284-2949
Entity
Organization
Contact information
Practice address
211 NEOSHO ST, HARTFORD, KS 66854-9400
(620) 392-5558
Mailing address
PO BOX 232, SABETHA, KS 66534-0232
(785) 284-2949
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
—
KS
Other
Enumeration date
04/12/2007
Last updated
08/22/2020
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