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Organization
HOMESTEAD OF EL DORADO OPERATIONS LLC
Active
Organization
HOMESTEAD OF EL DORADO OPERATIONS LLC
Active
Other names
El Dorado Homestead
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D TRYON CPA (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
1650 E 12TH AVE, EL DORADO, KS 67042-4300
(316) 321-7777
(316) 321-6115
Mailing address
1650 E 12TH AVE, EL DORADO, KS 67042-4300
(316) 321-7777
(316) 321-6115
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N008009
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N008009
—
KS
Enumeration date
01/03/2017
Last updated
01/03/2017
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