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General NPI Number Information
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NPI Number | 1003363953
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Entity Type | Organization
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Legal Business Name | WELLINGTON CARE AND REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 09/08/2016
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Last Update Date | 03/28/2017
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Provider Practice Location Address
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Address Line | 102 W BOTKIN ST
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City | WELLINGTON
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State | KS
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Zip | 67152-2302
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Country | US
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Telephone | 620-326-7437
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Fax | 620-326-7421
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Provider Business Mailing Address
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Address Line | 102 W BOTKIN ST
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City | WELLINGTON
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State | KS
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Zip | 67152-2302
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Country | US
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Telephone | 620-326-7437
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Fax | 620-326-7421
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Authorized Official
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Title or Position | MANAGER
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Name | JOSEPH SCHWARTZ
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Credential |
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Telephone | 201-635-1195
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 314000000X
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Taxonomy Name | Skilled Nursing Facility
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License Number |
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License Number State |
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