Organization
EMERITUS PROPERTIES XVI, INC.
Active
Other names
Emeritus at Augusta
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY ALLEN (DIRECTOR MEDICAID SERVICES)
(800) 429-4828
Entity
Organization
Contact information
Practice address
1611 FAIRWAY DR, AUGUSTA, KS 67010-2246
(316) 775-1000
(316) 775-6309
Mailing address
3131 ELLIOTT AVE, SUITE 500, SEATTLE, WA 98121-1044
(206) 298-2909
(206) 301-4500
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N008008
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200297710A
—
KS
Enumeration date
04/16/2007
Last updated
09/12/2012
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