Organization
MEDICALODGES, INC.
Active
Other names
Gran Villas Independence
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT L HINES (CHIEF FINANCIAL OFFICER)
(620) 709-0305
Entity
Organization
Contact information
Practice address
621 S 2ND ST, INDEPENDENCE, KS 67301-4311
(620) 331-2260
(620) 331-7082
Mailing address
621 S 2ND ST, INDEPENDENCE, KS 67301-4311
(620) 331-2260
(620) 331-7082
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N063005
KS
Other
Enumeration date
10/29/2013
Last updated
10/29/2013
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