Organization
LAKESIDE HOME PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. DEBRA S. RIBORDY R.N. (OWNER)
(620) 241-5030
Entity
Organization
Contact information
Practice address
1108 E SIMPSON ST, MCPHERSON, KS 67460-4502
(602) 241-5030
(620) 241-1697
Mailing address
1108 E SIMPSON ST, MCPHERSON, KS 67460-4502
(602) 241-5030
(620) 241-1697
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
B059010
KS
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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