# PIONEER HOME LLC

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

## Provider details

- **NPI number:** 1477671444
- **Authorized official:** LINDA D. MCCOMBS (ADMIN)
- **Authorized official phone:** (620) 355-6212

## Contact information

- **Practice address:** 110 W. RAILROAD AVE, BOX 48, LAKIN, KS 67860-0048
- **Practice address phone:** (162) 035-5621
- **Practice address fax:** (620) 355-8043
- **Mailing address:** 110 WEST RAILROAD AVE., BOX 48, LAKIN, KS 67860-0048
- **Mailing address phone:** (620) 355-6212
- **Mailing address fax:** (620) 355-8043

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 177F00000X | Lodging Provider | B047001 | KS | Yes |

## Other

- **Enumeration date:** 03/27/2007
- **Last updated:** 08/22/2020