# KANSAS SENIOR LIVING INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** SunPorch of Dodge City
- **Organization subpart:** No

## Provider details

- **NPI number:** 1083133458
- **Authorized official:** JOHN RICHARD GRACE (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (785) 506-6003

## Contact information

- **Practice address:** 501 W BEESON RD, DODGE CITY, KS 67801-5915
- **Practice address phone:** (620) 227-7512
- **Mailing address:** 6025 SW 39TH CT, TOPEKA, KS 66610-1372

## Taxonomy

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

## Other

- **Enumeration date:** 09/16/2017
- **Last updated:** 09/16/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 1041738501 | — | KS |