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Contact Information

GARDEN VALLEY RETIREMENT VILLAGE, LLC
1505 EAST SPRUCE STREET
GARDEN CITY, KS67846
 Phone: 620-275-9651
 Fax: 620-275-6582
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for GARDEN VALLEY RETIREMENT VILLAGE, LLC

NPI # 1710210943
LBN Legal business name GARDEN VALLEY RETIREMENT VILLAGE, LLC
Authorized official DEAN KIKLIS - (CFO)
Entity Organization
Organization subpart 1 No
Enumeration date 09/04/2009
Last updated 05/26/2015 - About 11 years ago
Identifiers
KS Medicaid 1041134501
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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