# D & J HOMECARE LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Heartland Haven
- **Organization subpart:** No

## Provider details

- **NPI number:** 1235509522
- **Authorized official:** DAWNELLE ADCOCK R.N. (DON / OWNER)
- **Authorized official phone:** (620) 241-1074

## Contact information

- **Practice address:** 1345 CHEROKEE RD, INMAN, KS 67546-8086
- **Practice address phone:** (620) 585-6908
- **Practice address fax:** (620) 585-6930
- **Mailing address:** 1345 CHEROKEE RD, INMAN, KS 67546-8086
- **Mailing address phone:** (620) 585-6908
- **Mailing address fax:** (620) 585-6930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | B059012 | KS | Yes |
| 311ZA0620X | Adult Care Home Facility | B059012 | KS | — |

## Other

- **Enumeration date:** 09/30/2015
- **Last updated:** 04/13/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 201110300A | — | KS |