# HOMESTEAD ESTATES HOME PLUS

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

## Provider details

- **NPI number:** 1851761332
- **Authorized official:** MICHELLE L LOCK-GOOCH (OPERATOR)
- **Authorized official phone:** (620) 626-5672

## Contact information

- **Practice address:** 1140 S PERSHING AVE, LIBERAL, KS 67901-4519
- **Practice address phone:** (620) 626-5672
- **Practice address fax:** (620) 626-0895
- **Mailing address:** 1140 S PERSHING AVE, LIBERAL, KS 67901-4519
- **Mailing address phone:** (620) 626-5672
- **Mailing address fax:** (620) 626-0895

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B088002 | KS | Yes |

## Other

- **Enumeration date:** 09/28/2015
- **Last updated:** 09/28/2015