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General NPI Number Information
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NPI Number | 1144842287
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Entity Type | Organization
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Legal Business Name | LOGAN COUNTY SENIOR LIVING INC
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Dates
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Enumeration Date | 05/12/2020
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Last Update Date | 01/12/2021
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Provider Practice Location Address
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Address Line | 615 PRICE AVE
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City | OAKLEY
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State | KS
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Zip | 67748-2048
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Country | US
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Telephone | 785-672-8109
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Fax | 785-672-1314
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Provider Business Mailing Address
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Address Line | 615 PRICE AVE
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City | OAKLEY
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State | KS
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Zip | 67748-2048
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Country | US
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Telephone | 785-672-8109
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Fax | 785-672-1314
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Authorized Official
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Title or Position | BOARD PRESIDENT
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Name | CARL UHRICH
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Credential |
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Telephone | 785-672-8109
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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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