Organization
UNIVEST, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAWN WOOLERY RN (MEMBER)
(785) 217-5999
Entity
Organization
Contact information
Practice address
1401 W 3RD ST, SEDALIA, MO 65301-3603
(660) 827-1088
Mailing address
1730 NE 54TH ST, TOPEKA, KS 66617-2623
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
043436
MO
Other
Enumeration date
08/28/2015
Last updated
08/28/2015
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