Healthcare Provider Details

I. General information

NPI: 1477858363
Provider Name (Legal Business Name): YATES CENTER NURSING AND REHABILITATION LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/24/2011
Last Update Date: 07/09/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

801 S FRY ST
YATES CENTER KS
66783-1640
US

IV. Provider business mailing address

801 S FRY ST
YATES CENTER KS
66783-1640
US

V. Phone/Fax

Practice location:
  • Phone: 620-625-2111
  • Fax: 620-625-3630
Mailing address:
  • Phone: 620-625-2111
  • Fax: 620-625-3630

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: GARETT ROBERTSON
Title or Position: MANAGER
Credential:
Phone: 801-296-5105