# ASBURY PARK, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Friendly Acres, Inc.
- **Organization subpart:** No

## Provider details

- **NPI number:** 1043207301
- **Authorized official:** MR. THOMAS R. WILLIAMS (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (316) 283-4770

## Contact information

- **Practice address:** 200 SW 14TH ST, NEWTON, KS 67114-4701
- **Practice address phone:** (316) 283-4770
- **Practice address fax:** (316) 283-4799
- **Mailing address:** 200 SW 14TH ST, NEWTON, KS 67114-4701
- **Mailing address phone:** (316) 283-4770
- **Mailing address fax:** (316) 283-4799

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | KS | Yes |

## Other

- **Enumeration date:** 10/03/2005
- **Last updated:** 02/04/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1041006201 | — | KS |