Healthcare Provider Details

I. General information

NPI: 1730354564
Provider Name (Legal Business Name): EUREKA NURSING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2008
Last Update Date: 02/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1020 N SCHOOL ST
EUREKA KS
67045-1106
US

IV. Provider business mailing address

1020 N SCHOOL ST
EUREKA KS
67045-1106
US

V. Phone/Fax

Practice location:
  • Phone: 670-583-7418
  • Fax:
Mailing address:
  • Phone: 670-583-7418
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number
License Number StateKS

VIII. Authorized Official

Name: JAMES REIKER
Title or Position: MANAGER
Credential:
Phone: 573-471-1113