Organization
MORAN NURSING, LLC
Active
Other names
Moran Manor
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES REIKER (TREASURER)
(573) 471-1113
Entity
Organization
Contact information
Practice address
3940 HIGHWAY 54, MORAN, KS 66755-3921
(620) 237-4309
(620) 237-4446
Mailing address
3940 HIGHWAY 54, MORAN, KS 66755-3921
(620) 237-4309
(620) 237-4446
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N001003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0100110560
—
KS
Enumeration date
07/07/2005
Last updated
10/18/2011
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