MEDICARE: ROOKS COUNTY HOME

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	313M00000X	Nursing Facility/Intermediate Care Facility	N082001	KS

General Provider Information

NPI Number	:	1295735082
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ROOKS COUNTY HOME

Provider Business Mailing Address
First Line	:	1000 S WASHINGTON ST
Second Line	:
City	:	PLAINVILLE
State	:	KS
Zip	:	67663-3608
Country	:	US
Telephone Number	:	785-434-4536
Fax Number	:

Provider Business Practice Location Address
First Line	:	1000 S WASHINGTON ST
Second Line	:
City	:	PLAINVILLE
State	:	KS
Zip	:	67663-3608
Country	:	US
Telephone Number	:	785-434-4536
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	MS. FONTELLA FANT
Credential	:
Telephone Number	:	785-434-4536

Provider Enumeration Date	:	07/22/2005
Last Update Date	:	08/22/2020

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Directions to “ROOKS COUNTY HOME ” Practice Location

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