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Organization

BEVERLY ENTERPRISES - KANSAS, LLC

Active
Other names
Tonganoxie Nursing Center
Organization subpart
No

Provider details

NPI number
Authorized official
DAVID G MERRELL (VICE PRESIDENT)
(479) 201-4840
Entity
Organization

Contact information

Practice address
1010 EAST ST, TONGANOXIE, KS 66086-9557
(913) 369-8705
Mailing address
1010 EAST ST, TONGANOXIE, KS 66086-9557
(913) 369-8705

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1041115301
KS
Enumeration date
05/27/2006
Last updated
08/22/2020
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