Organization
SHEPHERD OF THE PLAINS FOUNDATION
Active
Other names
The Shepherd's Center
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JEAN ELIZABETH BRYANT RN ADMINISTRATOR (ADMINISTRATOR)
(620) 855-3498
Entity
Organization
Contact information
Practice address
706 N. MAIN, CIMARRON, KS 67835-0249
(620) 855-3498
(620) 855-2381
Mailing address
706 N. MAIN, P.O. BOX 249, CIMARRON, KS 67835-0249
(620) 855-3498
(620) 855-2381
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
NO35002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109530A
—
KS
Enumeration date
03/16/2007
Last updated
06/15/2012
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