Organization
ASSISTED LIFESTYLES OF BLACKHAWK INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GARY AULL (OWNER)
(913) 592-5101
Entity
Organization
Contact information
Practice address
22550 S. FRANKLIN, SPRING HILL, KS 66083
(913) 592-5101
(913) 829-7975
Mailing address
22550 S. FRANKLIN, SPRING HILL, KS 66083
(913) 592-5101
(913) 829-7975
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N-046-066
KS
Other
Enumeration date
10/02/2006
Last updated
08/22/2020
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