# ASBURY VILLAGE

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Legend Senior Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235253642
- **Authorized official:** MANDY L FARROW (EXECUTIVE ASSISTANT)
- **Authorized official phone:** (316) 616-6218

## Contact information

- **Practice address:** 3800 ASBURY DR, COFFEYVILLE, KS 67337-9153
- **Practice address phone:** (620) 251-6270
- **Mailing address:** 3800 ASBURY DR, COFFEYVILLE, KS 67337-9153
- **Mailing address phone:** (620) 251-6270

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N063012 | KS | Yes |

## Other

- **Enumeration date:** 03/19/2007
- **Last updated:** 08/22/2020