# HOMESTEAD OF OSAWATOMIE OPERATIONS, LLC

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

## Provider details

- **NPI number:** 1285500629
- **Authorized official:** CODY FULKS (COMPLIANCE MANAGER)
- **Authorized official phone:** (785) 228-7971

## Contact information

- **Practice address:** 1520 PARKER AVE, OSAWATOMIE, KS 66064-1702
- **Practice address phone:** (913) 755-2167
- **Mailing address:** 3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498

## Taxonomy

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

## Other

- **Enumeration date:** 10/14/2025
- **Last updated:** 10/14/2025