Organization
PEABODY OPERATOR, LLC
Active
Other names
Peabody Health and Rehab
Organization subpart
No
Provider details
NPI number
Authorized official
MR. STUART LINDEMAN (CEO)
(813) 440-8345
Entity
Organization
Contact information
Practice address
407 N. LOCUST STREET, PEABODY, KS 66866-1117
(620) 983-2152
(620) 983-2281
Mailing address
407 N. LOCUST STREET, PEABODY, KS 66866-1117
(620) 983-2152
(620) 983-2281
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200739240A
—
KS
Enumeration date
03/03/2011
Last updated
08/14/2015
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