# THE PRAIRIE FARMSTEAD

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

## Provider details

- **NPI number:** 1790519155
- **Authorized official:** MICHALA GIBSON RN (CEO)
- **Authorized official phone:** (913) 257-5425

## Contact information

- **Practice address:** 12441 W 151ST ST, OVERLAND PARK, KS 66221-2305
- **Practice address phone:** (913) 257-5425
- **Mailing address:** 10034 W 151ST ST, OVERLAND PARK, KS 66221-9326
- **Mailing address phone:** (913) 257-5425

## Taxonomy

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

## Other

- **Enumeration date:** 08/28/2024
- **Last updated:** 08/28/2024