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Organization
DOVE ESTATES SENIOR LIVING COMMUNITY
Active
Organization
DOVE ESTATES SENIOR LIVING COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JACQUELINE JADIDIAN LNHA (EXECUTIVE DIRECTOR)
(316) 550-6343
Entity
Organization
Contact information
Practice address
1400 S 183RD ST W, GODDARD, KS 67052-9357
(316) 550-6343
(316) 550-6467
Mailing address
1400 S 183RD ST W, GODDARD, KS 67052-9357
(316) 550-6343
(316) 550-6467
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N087082
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201115690A
—
KS
Enumeration date
01/28/2016
Last updated
01/28/2016
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