Organization
KANSAS SENIOR LIVING INC.
Active
Other names
SunPorch of Dodge City
Organization subpart
No
Provider details
NPI number
Authorized official
JOHN RICHARD GRACE (EXECUTIVE DIRECTOR)
(785) 506-6003
Entity
Organization
Contact information
Practice address
501 W BEESON RD, DODGE CITY, KS 67801-5915
(620) 227-7512
Mailing address
6025 SW 39TH CT, TOPEKA, KS 66610-1372
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041738501
—
KS
Enumeration date
09/16/2017
Last updated
09/16/2017
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