# HOMESTEAD OF EL DORADO OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** El Dorado Homestead
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275078065
- **Authorized official:** MICHAEL D TRYON CPA (CFO)
- **Authorized official phone:** (785) 272-1535

## Contact information

- **Practice address:** 1650 E 12TH AVE, EL DORADO, KS 67042-4300
- **Practice address phone:** (316) 321-7777
- **Practice address fax:** (316) 321-6115
- **Mailing address:** 1650 E 12TH AVE, EL DORADO, KS 67042-4300
- **Mailing address phone:** (316) 321-7777
- **Mailing address fax:** (316) 321-6115

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N008009 | KS | Yes |

## Other

- **Enumeration date:** 01/03/2017
- **Last updated:** 01/03/2017

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | N008009 | — | KS |