Healthcare Provider Details

I. General information

NPI: 1205821832
Provider Name (Legal Business Name): T.W.G. NURSING HOME, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/20/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

511 N WESTERN
GIRARD KS
66743
US

IV. Provider business mailing address

511 N WESTERN P.O. BOX 66
GIRARD KS
66743
US

V. Phone/Fax

Practice location:
  • Phone: 620-724-8288
  • Fax: 620-724-4713
Mailing address:
  • Phone: 620-724-8288
  • Fax: 620-724-4713

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MR. JOHN TWAROG
Title or Position: ADMINISTRATOR
Credential:
Phone: 620-724-8288