# GREAT BEND HOMESTEAD ASSISTED LIVING, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** river Bend Assisted Living
- **Organization subpart:** No

## Provider details

- **NPI number:** 1831145986
- **Authorized official:** JAMES REIKER (TREASURER)
- **Authorized official phone:** (573) 471-1113

## Contact information

- **Practice address:** 3820 BROADWAY AVE, GREAT BEND, KS 67530-3645
- **Practice address phone:** (620) 792-7017
- **Mailing address:** 3820 BROADWAY AVE, GREAT BEND, KS 67530-3645

## Taxonomy

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

## Other

- **Enumeration date:** 05/26/2006
- **Last updated:** 08/22/2020