# HOMESTEAD ESTATES WICHITA OPERATIONS LLC

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

## Provider details

- **NPI number:** 1649858077
- **Authorized official:** MR. MICHAEL D TRYON CPA (CFO)
- **Authorized official phone:** (785) 272-1535

## Contact information

- **Practice address:** 10550 E 21ST ST N, WICHITA, KS 67206-3509
- **Practice address phone:** (316) 712-0145
- **Mailing address:** 3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498
- **Mailing address phone:** (785) 272-1535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 03/29/2021
- **Last updated:** 03/29/2021