Organization
FRANKLIN HEALTHCARE OF PEABODY, LLC
Active
Other names
Westview Manor of Peabody
Organization subpart
No
Provider details
NPI number
Authorized official
DOUG MITTLEIDER (PRESIDENT OF MANAGING MEMBER)
(470) 282-3268
Entity
Organization
Contact information
Practice address
500 PEABODY AVE, PEABODY, KS 66866-1206
(620) 983-2165
(620) 983-2364
Mailing address
3050 ROYAL BLVD S, STE. 190, ALPHARETTA, GA 30022-4427
(470) 282-3268
(470) 268-7957
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
N057002
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1542075301
—
KS
Enumeration date
11/05/2015
Last updated
04/03/2017
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