# GUEST HOME ESTATE OF IOLA, LLC

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Other names:** Guest Home Estates V
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093146474
- **Authorized official:** MR. JAMES RAY LAIDLER (MEMBER/ MANAGER)
- **Authorized official phone:** (620) 232-8323

## Contact information

- **Practice address:** 1336 N WALNUT ST, IOLA, KS 66749-1601
- **Practice address phone:** (620) 365-6989
- **Practice address fax:** (620) 365-8118
- **Mailing address:** 1336 N WALNUT ST, IOLA, KS 66749-1601
- **Mailing address phone:** (620) 365-6989
- **Mailing address fax:** (620) 365-8118

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N001001CB | KS | Yes |

## Other

- **Enumeration date:** 12/10/2013
- **Last updated:** 12/10/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200546870B | — | KS |