Organization
WB REAL ESTATE OF IOLA, LLC
Active
Other names
Greystone Residential Care Community
Organization subpart
No
Provider details
NPI number
Authorized official
AMY WILCOX-BURNS (MEMBER)
(402) 898-1079
Entity
Organization
Contact information
Practice address
2620 N KENTUCKY ST, IOLA, KS 66749-1940
(620) 365-6002
Mailing address
2620 N KENTUCKY ST, IOLA, KS 66749-1940
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201110780A
—
KS
Enumeration date
01/22/2015
Last updated
06/12/2015
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