# ELLINWOOD SENIOR LIVING

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Country Place Senior Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1336263557
- **Authorized official:** MRS. MISSY DAWN PFLUGHOEFT (OPERATOR)
- **Authorized official phone:** (620) 564-2100

## Contact information

- **Practice address:** 302 N MAIN ST, ELLINWOOD, KS 67526-1657
- **Practice address phone:** (620) 564-2100
- **Practice address fax:** (620) 564-3200
- **Mailing address:** 302 N MAIN ST, ELLINWOOD, KS 67526-1657
- **Mailing address phone:** (620) 564-2100
- **Mailing address fax:** (620) 564-3200

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B00-5001 | KS | Yes |

## Other

- **Enumeration date:** 03/16/2007
- **Last updated:** 06/20/2008