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Organization
EMERITUS PROPERTIES XVI, INC.
Active
Organization
EMERITUS PROPERTIES XVI, INC.
Active
Other names
Emeritus at Augusta
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ALLEN (DIRECTOR MEDICAID SERVICES)
(800) 429-4828
Entity
Organization
Contact information
Practice address
1611 FAIRWAY DR, AUGUSTA, KS 67010-2246
(316) 775-1000
(316) 775-6309
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N008008
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200297710A
—
KS
Enumeration date
04/16/2007
Last updated
09/12/2012
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