MULTI COMMUNITY DIVERSIFIED SERVICES, INC.
Intermediate Care Facility, Mentally Retarded
Mcpherson, Kansas
Provider NPI: 1518935204
Organization Information:Organization Name: MULTI COMMUNITY DIVERSIFIED SERVICES, INC.
Practice Location:
225 S HICKORY ST MCPHERSON, KS 67460 US
Tel: 620-241-6780 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
225 S HICKORY ST MCPHERSON, KS 67460 US
Tel: 620-241-6780 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
Y | 315P00000X | Nursing & Custodial Care Facilities Intermediate Care Facility, Mentally Retarded | KS | N-059-010 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100108380F | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin