# TONGANOXIE OPCO LLC

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

## Provider details

- **NPI number:** 1750166336
- **Authorized official:** DAVID INSEL (AUTHORIZED MEMBER)
- **Authorized official phone:** (347) 477-3380

## Contact information

- **Practice address:** 1010 EAST ST, TONGANOXIE, KS 66086-9557
- **Practice address phone:** (913) 369-8705
- **Mailing address:** 1010 EAST ST, TONGANOXIE, KS 66086-9557

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 08/30/2023
- **Last updated:** 08/30/2023
