Organization
GUEST HOME ESTATE OF IOLA, LLC
Active
Other names
Guest Home Estates V
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JAMES RAY LAIDLER (MEMBER/ MANAGER)
(620) 232-8323
Entity
Organization
Contact information
Practice address
1336 N WALNUT ST, IOLA, KS 66749-1601
(620) 365-6989
(620) 365-8118
Mailing address
1336 N WALNUT ST, IOLA, KS 66749-1601
(620) 365-6989
(620) 365-8118
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N001001CB
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200546870B
—
KS
Enumeration date
12/10/2013
Last updated
12/10/2013
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