Organization
COUNTRY PLACE LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA THERESA SMITH (DIRECTOR)
(620) 285-6900
Entity
Organization
Contact information
Practice address
714 W 9TH ST, LARNED, KS 67550-2452
(620) 285-6900
(620) 285-6907
Mailing address
714 W 9TH ST, LARNED, KS 67550-2452
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N073002
KS
Other
Enumeration date
09/23/2010
Last updated
09/23/2010
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