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Organization
CORNERSTONE ASSISTED LIVING
Active
Organization
CORNERSTONE ASSISTED LIVING
Active
Other names
Cornerstone Broadmoor
Organization subpart
No
Provider details
NPI number
Authorized official
WILLIAM J SLATER (VICE PRESIDENT OF FINANCE)
(316) 946-5215
Entity
Organization
Contact information
Practice address
1240 N BROADMOOR AVE, WICHITA, KS 67206-3896
(316) 636-5101
(316) 636-2576
Mailing address
1240 N BROADMOOR AVE, WICHITA, KS 67206-3896
(316) 636-5101
(316) 636-2576
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N087041
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200104501083
—
KS
Enumeration date
03/06/2007
Last updated
08/22/2020
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