Organization
HUMBOLDT ASSISTED LIVING, LLC
Active
Other names
Arrowood Lane
Organization subpart
No
Provider details
NPI number
Authorized official
JEAN L WILCOX (MANAGEMENT COMPANY REPRESENTATIVE)
(402) 898-1079
Entity
Organization
Contact information
Practice address
615 FRANKLIN ST, HUMBOLDT, KS 66748-1011
(620) 473-3456
(620) 473-2299
Mailing address
615 FRANKLIN ST, HUMBOLDT, KS 66748-1011
(620) 473-3456
(620) 473-2299
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
100352910A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100352910A
—
KS
Enumeration date
03/18/2007
Last updated
06/12/2015
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