St Rose Health Center INC

NPI #1720483985 in Great Bend, Kansas

Provider Information

NPI Number
1720483985
Entity Type
Organization
Organization Name
St Rose Health Center INC
Primary Specialty
Hospice Care, Community Based
Enumeration Date
Oct 30, 2014
Last Updated
Oct 28, 2016

Practice Location

Address
3515 BROADWAY AVE
Address 2
SUITE 214
State
Kansas
ZIP Code
67530-3633
Phone
(620) 792-8171

Authorized Official

Name
DR. JOHN H JETER, M.D.
Title
PRESIDENT
Phone
(785) 623-5523

Specialties & Taxonomy Codes

Specialty
Hospice Care, Community Based

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