# FAIRVIEW ESTATES RETIREMENT COMMUNITY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1023343563
- **Authorized official:** MR. GARY LEE STEWART (OPERATOR)
- **Authorized official phone:** (785) 462-2154

## Contact information

- **Practice address:** 1630 SEWELL AVE, COLBY, KS 67701
- **Practice address phone:** (785) 462-2154
- **Practice address fax:** (785) 460-0226
- **Mailing address:** 1630 SEWELL AVE, COLBY, KS 67701-3735
- **Mailing address phone:** (785) 462-2154
- **Mailing address fax:** (785) 460-0226

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N097003 | KS | Yes |

## Other

- **Enumeration date:** 10/15/2009
- **Last updated:** 10/15/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | N097003 | STATE LICENSE - ADULT CARE HOME LICENSE | KS |