# COUNTRY PLACE LIVING

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1184932287
- **Authorized official:** MRS. LAURA THERESA SMITH (DIRECTOR)
- **Authorized official phone:** (620) 285-6900

## Contact information

- **Practice address:** 714 W 9TH ST, LARNED, KS 67550-2452
- **Practice address phone:** (620) 285-6900
- **Practice address fax:** (620) 285-6907
- **Mailing address:** 714 W 9TH ST, LARNED, KS 67550-2452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N073002 | KS | Yes |

## Other

- **Enumeration date:** 09/23/2010
- **Last updated:** 09/23/2010