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Organization
ALEGRIA LIVING & HEALTHCARE, INC.
Active
Organization
ALEGRIA LIVING & HEALTHCARE, INC.
Active
Other names
Brookside Health & Rehab, Brookside Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. SCOTT G AVERILL (OWNER / ADMINISTRATOR)
(785) 665-7124
Entity
Organization
Contact information
Practice address
700 W 7TH ST, OVERBROOK, KS 66524-9496
(785) 665-7124
(785) 665-7026
Mailing address
700 W 7TH ST, OVERBROOK, KS 66524-9496
(785) 665-7124
(785) 665-7026
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
NULL
314000000X
Skilled Nursing Facility
Primary
N070001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1263
BLUE CROSS BLUE SHIELD
KS
01
—
200263560A
HCBS PROVIDER NUMBER
KS
05
—
200263730A
—
KS
Enumeration date
09/02/2005
Last updated
10/26/2022
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