# CENTENNIAL HOMESTEAD INC.

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

## Provider details

- **NPI number:** 1679568091
- **Authorized official:** HAELY N ORDOYNE (ADMINISTRATOR/OWNER/PRESIDENT)
- **Authorized official phone:** (785) 747-6790

## Contact information

- **Practice address:** 311 E 2ND ST, WASHINGTON, KS 66968-2028
- **Practice address phone:** (785) 325-2361
- **Practice address fax:** (785) 325-2870
- **Mailing address:** 311 E 2ND ST, WASHINGTON, KS 66968-2028
- **Mailing address phone:** (785) 325-2361
- **Mailing address fax:** (785) 325-2870

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | A101004 | KS | Yes |

## Other

- **Enumeration date:** 09/12/2005
- **Last updated:** 09/15/2015