# RL DODGE CITY 2

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

## Provider details

- **NPI number:** 1720766728
- **Authorized official:** TRACEE JOY BARTLEY (ADMINISTRATOR, OPERATOR)
- **Authorized official phone:** (620) 290-3936

## Contact information

- **Practice address:** 2800 6TH AVE STE 2, DODGE CITY, KS 67801-2478
- **Practice address phone:** (620) 290-3936
- **Practice address fax:** (620) 371-5135
- **Mailing address:** 2800 6TH AVE STE 2, DODGE CITY, KS 67801-2478
- **Mailing address phone:** (620) 290-3936
- **Mailing address fax:** (620) 371-5135

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/10/2023
- **Last updated:** 07/10/2023