| Organization Name: | MEDICALODGES, INC. |
| NPI Number: | 1225116684 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | CATHY W FISHER (CHIEF FINANCIAL OFFICER) |
| Mailing Address: | 715 Liberty St Clay Center |
| State: | KS US |
| Postal Code: | 674321528 |
| Phone Number: | 7856325696 |
| Fax Number: | 7856322855 |
| NPI Enumeration Date: | 11/02/2006 |
| NPI Last Update Date: | 06/23/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QA0600X |
| License Number: | N104004 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | KS |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Adult Day Care |
| Taxonomy Definition: | |