Organization
MIDWEST HOMESTEAD OF OWASSO, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D. TRYON (CFO)
(785) 228-7913
Entity
Organization
Contact information
Practice address
14701 E 86TH ST N, OWASSO, OK 74055-8474
(918) 376-2226
Mailing address
3715 SW 29TH ST, TOPEKA, KS 66614-2107
(785) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
—
Other
Enumeration date
03/21/2007
Last updated
08/22/2020
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