Organization Name: | CHERRY VILLAGE BENEVOLENCE, INC. |
NPI Number: | 1144345919 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | PAMLA SUE LEWIS (ADMINISTRATOR) |
Mailing Address: | 1401 Cherry Ln Great Bend |
State: | KS US |
Postal Code: | 675303152 |
Phone Number: | 6207922165 |
Fax Number: | 6207936341 |
NPI Enumeration Date: | 03/20/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 311500000X |
License Number: | N005001 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | KS |
Taxonomy Type: | Nursing & Custodial Care Facilities |
Taxonomy Classification: | Alzheimer Center (Dementia Center) |
Taxonomy Specialization: | |
Taxonomy Definition: | A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer |