# HUMBOLDT ASSISTED LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Arrowood Lane
- **Organization subpart:** No

## Provider details

- **NPI number:** 1164546024
- **Authorized official:** JEAN L WILCOX (MANAGEMENT COMPANY REPRESENTATIVE)
- **Authorized official phone:** (402) 898-1079

## Contact information

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

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 100352910A | KS | Yes |

## Other

- **Enumeration date:** 03/18/2007
- **Last updated:** 06/12/2015