# EAGLECREST LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Eaglecrest Retirement Community
- **Organization subpart:** No

## Provider details

- **NPI number:** 1417002429
- **Authorized official:** MS. BRENDA SUE O'GORMAN M.B.A. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (785) 309-1501

## Contact information

- **Practice address:** 1501 E MAGNOLIA RD, SALINA, KS 67401-9112
- **Practice address phone:** (785) 309-1501
- **Practice address fax:** (785) 309-1502
- **Mailing address:** 1501 E MAGNOLIA RD, SALINA, KS 67401-9112
- **Mailing address phone:** (785) 309-1501
- **Mailing address fax:** (785) 309-1502

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N085012 | KS | Yes |

## Other

- **Enumeration date:** 01/23/2007
- **Last updated:** 08/22/2020