Organization
FAIRVIEW ESTATES RETIREMENT COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GARY LEE STEWART (OPERATOR)
(785) 462-2154
Entity
Organization
Contact information
Practice address
1630 SEWELL AVE, COLBY, KS 67701
(785) 462-2154
(785) 460-0226
Mailing address
1630 SEWELL AVE, COLBY, KS 67701-3735
(785) 462-2154
(785) 460-0226
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N097003
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N097003
STATE LICENSE - ADULT CARE HOME LICENSE
KS
Enumeration date
10/15/2009
Last updated
10/15/2009
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