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Organization
PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC
Active
Organization
PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC
Active
Other names
Pioneer Ridge Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE D TRYON (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
4851 HARVARD ROAD, LAWRENCE, KS 66049
(785) 749-2000
(785) 344-1199
Mailing address
3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498
(785) 228-7913
(785) 438-5513
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
100112080A
KS
314000000X
Skilled Nursing Facility
Primary
175445
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112080A
—
KS
Enumeration date
12/11/2006
Last updated
07/18/2018
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