Organization
PETERSON ASSISTED LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PATRICIA KAY GUNDY (OPERATOR/OWNER)
(785) 528-3301
Entity
Organization
Contact information
Practice address
629 HOLLIDAY ST, OSAGE CITY, KS 66523-1137
(785) 528-3301
(785) 528-1124
Mailing address
629 HOLLIDAY ST, OSAGE CITY, KS 66523-1137
(785) 528-3301
(785) 528-1124
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/20/2020
Last updated
03/20/2020
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