Organization
DESERET NURSING AND REHABILITATION AT MCPHERSON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JON ROBERTSON (OWNER)
(801) 296-5105
Entity
Organization
Contact information
Practice address
1601 N MAIN ST, MCPHERSON, KS 67460-1601
(620) 241-5360
(620) 241-5364
Mailing address
1601 N MAIN ST, MCPHERSON, KS 67460-1601
(620) 241-5360
(620) 241-5364
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N-059-004
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1042085401
—
KS
Enumeration date
06/28/2005
Last updated
08/11/2008
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