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Organization
AHG BLACKHAWK, LLC
Active
Organization
AHG BLACKHAWK, LLC
Active
Other names
ASSISTED LIFESTYLES OF BLACKHAWK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN GUY WILCOX (SECRETARY)
(913) 592-5101
Entity
Organization
Contact information
Practice address
22550 S FRANKLIN ST, SPRING HILL, KS 66083-8763
(913) 592-5101
(913) 307-0196
Mailing address
22550 S FRANKLIN ST, SPRING HILL, KS 66083-8763
(913) 592-5101
(913) 307-0196
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N046066
KS
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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