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Organization
KANSAS SENIOR LIVING INC.
Active
Organization
KANSAS SENIOR LIVING INC.
Active
Other names
SunPorch of Dodge City
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RICHARD GRACE (EXECUTIVE DIRECTOR)
(785) 506-6003
Entity
Organization
Contact information
Practice address
501 W BEESON RD, DODGE CITY, KS 67801-5915
(620) 227-7512
Mailing address
6025 SW 39TH CT, TOPEKA, KS 66610-1372
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041738501
—
KS
Enumeration date
09/16/2017
Last updated
09/16/2017
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