SENIOR HEALTHCARE, LLC; NPI #1639454044

Contact Information

SENIOR HEALTHCARE, LLC

2921 W 1ST ST
COFFEYVILLE, KS 67337-2441

Phone: 620-251-5190
Fax:
Website:

	Specialty	Taxonomy Code	Specialty Code	Provider Type
	Gerontology	364SG0600X	89	Certified Clinical Nurse Specialist

Indicates primary specialty

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NPI Profile & details for SENIOR HEALTHCARE, LLC

NPI Number 1639454044

LBN Legal business name SENIOR HEALTHCARE, LLC

Authorized official DANA MORTON - (ARNP)

Entity Organization

Organization subpart ¹ No

Enumeration date 10/17/2011

Last updated 10/17/2011 - About 15 years ago

Identifiers

KS	License #	74308
KS	Medicaid	100447400A

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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SENIOR HEALTHCARE, LLC

Contact Information

Specialty

Gerontology

NPI Profile & details for SENIOR HEALTHCARE, LLC

Reviews for SENIOR HEALTHCARE, LLC