# AHG SHAWNEE, LLC

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

## Provider details

- **NPI number:** 1255723524
- **Authorized official:** MR. NORMAN G WILCOX (CEO)
- **Authorized official phone:** (913) 345-1032

## Contact information

- **Practice address:** 16207 MIDLAND DR, SHAWNEE, KS 66217-9499
- **Practice address phone:** (913) 345-1032
- **Practice address fax:** (913) 345-1044
- **Mailing address:** 11701 NIEMAN RD, OVERLAND PARK, KS 66210-4310
- **Mailing address phone:** (913) 345-1032
- **Mailing address fax:** (913) 345-1044

## Taxonomy

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

## Other

- **Enumeration date:** 02/24/2015
- **Last updated:** 02/24/2015