Organization
AHG BLACKHAWK, LLC
Active
Other names
ASSISTED LIFESTYLES OF BLACKHAWK
Organization subpart
No
Provider details
NPI number
Authorized official
MR. NORMAN GUY WILCOX (SECRETARY)
(913) 592-5101
Entity
Organization
Contact information
Practice address
22550 S FRANKLIN ST, SPRING HILL, KS 66083-8763
(913) 592-5101
(913) 307-0196
Mailing address
22550 S FRANKLIN ST, SPRING HILL, KS 66083-8763
(913) 592-5101
(913) 307-0196
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N046066
KS
Other
Enumeration date
10/17/2008
Last updated
10/17/2008
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