Provider Demographics
NPI:1144842287
Name:LOGAN COUNTY SENIOR LIVING INC
Entity type:Organization
Organization Name:LOGAN COUNTY SENIOR LIVING INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:BOARD PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CARL
Authorized Official - Middle Name:
Authorized Official - Last Name:UHRICH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:785-672-8109
Mailing Address - Street 1:615 PRICE AVE
Mailing Address - Street 2:
Mailing Address - City:OAKLEY
Mailing Address - State:KS
Mailing Address - Zip Code:67748-2048
Mailing Address - Country:US
Mailing Address - Phone:785-672-8109
Mailing Address - Fax:785-672-1314
Practice Address - Street 1:615 PRICE AVE
Practice Address - Street 2:
Practice Address - City:OAKLEY
Practice Address - State:KS
Practice Address - Zip Code:67748-2048
Practice Address - Country:US
Practice Address - Phone:785-672-8109
Practice Address - Fax:785-672-1314
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-12
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility