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General NPI Number Information
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NPI Number | 1275558561
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Entity Type | Organization
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Legal Business Name | RICHMOND HEALTHCARE AND REHABILITATION CENTER, LLC
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Dates
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Enumeration Date | 07/13/2006
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 340 SOUTH STREET
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City | RICHMOND
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State | KS
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Zip | 66080
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Country | US
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Telephone | 785-835-6135
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Fax | 785-835-6179
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Provider Business Mailing Address
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Address Line | 340 SOUTH STREET
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City | RICHMOND
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State | KS
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Zip | 66080
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Country | US
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Telephone | 785-835-6135
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Fax | 785-835-6179
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Authorized Official
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Title or Position | SR. VICE PRESIDENT OF OPERATIONS
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Name | EDDIE PARADES
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Credential |
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Telephone | 210-493-3165
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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 | N030003
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License Number State | KS
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