Organization
STATE OF KANSAS - ACCOUNTING SERVICES
Active
Other names
Kansas Soldiers Home
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID SMITH (SUPERINTENDENT)
(620) 227-2121
Entity
Organization
Contact information
Practice address
200 CUSTER STREET, FORT DODGE, KS 67843
(620) 227-2121
(620) 225-6331
Mailing address
714 SHERIDAN UNIT 128, FORT DODGE, KS 67801-3500
(620) 227-2121
(620) 225-6331
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-029-008
KS
Other
Enumeration date
07/22/2008
Last updated
07/29/2015
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