Organization
OTTAWA MEDICAL SERVICES, INC.
Active
Other names
Ottawa West
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH F RAUPACH (COO)
(513) 487-3600
Entity
Organization
Contact information
Practice address
1527 S TWYMAN ST, OTTAWA, KS 66067-3478
(785) 242-9378
(785) 242-2278
Mailing address
330 STRAIGHT ST, SUITE 330, CINCINNATI, OH 45219-1064
(513) 487-3600
(513) 487-3612
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
NO30007
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NO30007
ADULT CARE HOME LICENSE
KS
Enumeration date
09/06/2005
Last updated
04/19/2012
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