# DEER PARK SENIOR GROUP HOMES LLC

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

## Provider details

- **NPI number:** 1326234535
- **Authorized official:** MRS. LAURA M RICH-FORBES (OPERATOR)
- **Authorized official phone:** (785) 484-2165

## Contact information

- **Practice address:** 6313 HIGHWAY K4, MERIDEN, KS 66512-9220
- **Practice address phone:** (785) 484-2165
- **Mailing address:** 6313 HIGHWAY K4, MERIDEN, KS 66512-9220
- **Mailing address phone:** (785) 484-2165

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B044001 | KS | Yes |

## Other

- **Enumeration date:** 09/20/2007
- **Last updated:** 09/20/2007

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 00100436750 | — | KS |
| 05 | — | 00102102889 | — | KS |
| 05 | — | 00102216588 | — | KS |