# DELAWARE HIGHLANDS ASSISTED LIVING

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

## Provider details

- **NPI number:** 1336291152
- **Authorized official:** KETTI DAWSON M.S., NHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (913) 721-1400

## Contact information

- **Practice address:** 12600 DELAWARE PKWY, KANSAS CITY, KS 66109-3370
- **Practice address phone:** (913) 721-1400
- **Practice address fax:** (913) 400-7127
- **Mailing address:** 12600 DELAWARE PKWY, KANSAS CITY, KS 66109-3370
- **Mailing address phone:** (913) 721-1400
- **Mailing address fax:** (913) 400-7127

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N105014 | KS | Yes |

## Other

- **Enumeration date:** 01/18/2007
- **Last updated:** 08/22/2020