Organization
ML-OP COFFEYVILLE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT HINES (PRESIDENT/CEO)
(620) 709-0305
Entity
Organization
Contact information
Practice address
2921 W 1ST ST, COFFEYVILLE, KS 67337-2441
(620) 251-6700
Mailing address
PO BOX 509, COFFEYVILLE, KS 67337-0509
(620) 988-0215
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
03/29/2022
Last updated
04/25/2022
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