# GOODLAND ASSISTED LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Wheat Ridge Acres
- **Organization subpart:** No

## Provider details

- **NPI number:** 1093776171
- **Authorized official:** DONALD KANEN (CFO)
- **Authorized official phone:** (719) 589-2063

## Contact information

- **Practice address:** 707 WHEAT RIDGE CIR, GOODLAND, KS 67735-2256
- **Practice address phone:** (785) 899-0100
- **Practice address fax:** (785) 899-0277
- **Mailing address:** 2415 MULLINS AVE, SUITE 4, ALAMOSA, CO 81101-4274
- **Mailing address phone:** (719) 589-2063
- **Mailing address fax:** (719) 589-8891

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N091002 | KS | Yes |

## Other

- **Enumeration date:** 03/29/2006
- **Last updated:** 08/22/2020