Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareMEMORIAL HOME, INC.
Nursing Care, Pediatric
Moundridge, Kansas
Provider NPI: 1801896782
Organization Information:Organization Name: MEMORIAL HOME, INC.
Practice Location:
86 22ND AVE MOUNDRIDGE, KS 67107 US
Tel: 620-345-2901 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:
86 22ND AVE MOUNDRIDGE, KS 67107 US
Tel: 620-345-2901 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 3140N1450X | Nursing & Custodial Care Facilities Skilled Nursing Facility Nursing Care, Pediatric | KS | N059002 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| 100108790 | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin