Organization
FIVE STAR QUALITY CARE-KS, LLC
Active
Other names
Brandon Woods at Alvamar
Organization subpart
No
Provider details
NPI number
Authorized official
KATHERINE E POTTER (PRESIDENT & CHIEF EXECUTIVE OFFICER)
(617) 796-8387
Entity
Organization
Contact information
Practice address
1501 INVERNESS DRIVE, LAWRENCE, KS 66047-1870
(785) 838-8000
(785) 838-8001
Mailing address
1501 INVERNESS DRIVE, LAWRENCE, KS 66047-1870
(785) 838-8000
(785) 838-8001
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
N023009
KS
310400000X
Assisted Living Facility
—
—
311500000X
Alzheimer Center (Dementia Center)
N023009
KS
314000000X
Skilled Nursing Facility
Primary
N023009
KS
314000000X
Skilled Nursing Facility
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200629080A
—
KS
Enumeration date
11/21/2005
Last updated
03/28/2019
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