# AHG BLACKHAWK, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ASSISTED LIFESTYLES OF BLACKHAWK
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184876427
- **Authorized official:** MR. NORMAN GUY WILCOX (SECRETARY)
- **Authorized official phone:** (913) 592-5101

## Contact information

- **Practice address:** 22550 S FRANKLIN ST, SPRING HILL, KS 66083-8763
- **Practice address phone:** (913) 592-5101
- **Practice address fax:** (913) 307-0196
- **Mailing address:** 22550 S FRANKLIN ST, SPRING HILL, KS 66083-8763
- **Mailing address phone:** (913) 592-5101
- **Mailing address fax:** (913) 307-0196

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N046066 | KS | Yes |

## Other

- **Enumeration date:** 10/17/2008
- **Last updated:** 10/17/2008