Great Bend-Ltc, LLC
NPI #1437435286 in Great Bend, Kansas
Provider Information
- NPI Number
- 1437435286
- Entity Type
- Organization
- Organization Name
- Great Bend-Ltc, LLC
- Primary Specialty
- Skilled Nursing Facility
- Enumeration Date
- Oct 25, 2011
- Last Updated
- Nov 12, 2015
Practice Location
- Address
- 1560 K 96 HWY
- City
- Great Bend
- State
- Kansas
- ZIP Code
- 67530-3012
- Phone
- (678) 522-2436
Authorized Official
- Name
- DAREN G DOUSTON
- Title
- MEMBER CFO
- Phone
- (678) 522-2436
Specialties & Taxonomy Codes
| Specialty |
|---|
| Skilled Nursing Facility |
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