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General NPI Number Information
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NPI Number | 1407832876
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Entity Type | Organization
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Legal Business Name | ROSE HILL HEALTH SERVICES, LLC
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Dates
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Enumeration Date | 12/19/2005
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Last Update Date | 06/14/2012
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Provider Practice Location Address
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Address Line | 601 N ROSE HILL RD
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City | ROSE HILL
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State | KS
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Zip | 67133-9336
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Country | US
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Telephone | 316-776-2194
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Fax | 316-776-9370
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Provider Business Mailing Address
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Address Line | 601 N ROSE HILL RD
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City | ROSE HILL
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State | KS
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Zip | 67133-9336
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Country | US
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Telephone | 316-776-2194
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Fax | 316-776-9370
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Authorized Official
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Title or Position | MEMBER ADMINISTRATOR
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Name | MR. LARRY DEAN WILKERSON
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Credential |
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Telephone | 316-776-2194
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number | N008004
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License Number State | KS
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