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CHERRY VILLAGE BENEVOLENCE, INC.

Alzheimer Center

Great Bend, Kansas

Provider NPI: 1144345919

Organization Information:
Organization Name:  CHERRY VILLAGE BENEVOLENCE, INC.


Practice Location:
1401 CHERRY LN  GREAT BEND, KS 67530 US
Tel: 620-792-2165  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311500000XNursing & Custodial Care Facilities
Alzheimer Center (Dementia Center)
KSN005001

Other Provider Identifiers:

IssuerNumberStateType
TAXONOMY31400000XKS01
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




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