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MEDICALODGES, INC.

Intermediate Care Facility, Mentally Retarded

Pittsburg, Kansas

Provider NPI: 1760579700

Organization Information:
Organization Name:  MEDICALODGES, INC.


Practice Location:
2702 N JOPLIN ST  PITTSBURG, KS 66762 US
Tel: 620-231-3910  Fax: --

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


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y315P00000XNursing & Custodial Care Facilities
Intermediate Care Facility, Mentally Retarded
KSN019005

Other Provider Identifiers:

IssuerNumberStateType
100107330BKS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




MENTALLY RETARDED JOBS KS - Page 1



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