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Organization
KELLY HOUSE OPERATIONS LLC
Active
Organization
KELLY HOUSE OPERATIONS LLC
Active
Other names
Kelly House 1
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D TRYON (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
2111 SW RANDOLPH AVE, TOPEKA, KS 66611-1547
(785) 234-8888
(785) 234-0885
Mailing address
3715 SW 29TH ST STE 200, TOPEKA, KS 66614-2164
(785) 272-1535
(785) 272-1480
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N089033
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100022540B
—
KS
Enumeration date
09/19/2013
Last updated
09/19/2013
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