# CGAL LLC

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

## Provider details

- **NPI number:** 1306088315
- **Authorized official:** SANDRA L. KLINE (DIRECTOR)
- **Authorized official phone:** (620) 767-5600

## Contact information

- **Practice address:** 554 COUNTRY LN, COUNCIL GROVE, KS 66846-1565
- **Practice address phone:** (620) 767-5600
- **Practice address fax:** (620) 767-6552
- **Mailing address:** 554 COUNTRY LN, COUNCIL GROVE, KS 66846-1565
- **Mailing address phone:** (620) 767-5600
- **Mailing address fax:** (620) 767-6552

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N064002 | KS | Yes |

## Other

- **Enumeration date:** 04/06/2009
- **Last updated:** 04/06/2009