# HOMESTEAD OF CRESTVIEW OPERATIONS LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Homestead of Crestview
- **Organization subpart:** No

## Provider details

- **NPI number:** 1811342280
- **Authorized official:** MICHAEL D TRYON (CFO)
- **Authorized official phone:** (785) 272-1535

## Contact information

- **Practice address:** 600 N 127TH ST E, WICHITA, KS 67206-2807
- **Practice address phone:** (316) 733-8100
- **Mailing address:** 3715 SW 29TH ST, SUITE 200, TOPEKA, KS 66614-2107
- **Mailing address phone:** (785) 272-1535

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | N087059 | KS | Yes |

## Other

- **Enumeration date:** 05/04/2016
- **Last updated:** 05/04/2016