Organization
ML-OP GODDARD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SCOTT L HINES (CEO)
(620) 251-6700
Entity
Organization
Contact information
Practice address
501 EASY ST, GODDARD, KS 67052-9211
(316) 794-8635
Mailing address
PO BOX 509, COFFEYVILLE, KS 67337-0509
(620) 251-6700
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
05/22/2025
Last updated
09/10/2025
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