Provider Demographics
NPI:1073932950
Name:LOVING CARE OF MCPHERSON
Entity Type:Organization
Organization Name:LOVING CARE OF MCPHERSON
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:LOUISE
Authorized Official - Last Name:RIERSON
Authorized Official - Suffix:
Authorized Official - Credentials:OWNER/OPERATOR
Authorized Official - Phone:620-241-7943
Mailing Address - Street 1:1411 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:MCPHERSON
Mailing Address - State:KS
Mailing Address - Zip Code:67460-1722
Mailing Address - Country:US
Mailing Address - Phone:620-241-7943
Mailing Address - Fax:620-241-9091
Practice Address - Street 1:1411 DOVER RD
Practice Address - Street 2:
Practice Address - City:MCPHERSON
Practice Address - State:KS
Practice Address - Zip Code:67460-1722
Practice Address - Country:US
Practice Address - Phone:620-241-7943
Practice Address - Fax:620-241-9091
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-08
Last Update Date:2014-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSB059006313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility