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Organization

HUMBOLDT ASSISTED LIVING, LLC

Active
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Organization

HUMBOLDT ASSISTED LIVING, LLC

Active
Other names
Arrowood Lane
Organization subpart
No

Provider details

NPI number
Authorized official
JEAN L WILCOX (MANAGEMENT COMPANY REPRESENTATIVE)
(402) 898-1079
Entity
Organization

Contact information

Practice address
615 FRANKLIN ST, HUMBOLDT, KS 66748-1011
(620) 473-3456
(620) 473-2299
Mailing address
615 FRANKLIN ST, HUMBOLDT, KS 66748-1011
(620) 473-3456
(620) 473-2299

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100352910A
KS

Other

Enumeration date
03/18/2007
Last updated
06/12/2015
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