Organization
HOMESTEAD OF EL DORADO OPERATIONS LLC
Active
Other names
El Dorado Homestead
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D TRYON CPA (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
1650 E 12TH AVE, EL DORADO, KS 67042-4300
(316) 321-7777
(316) 321-6115
Mailing address
1650 E 12TH AVE, EL DORADO, KS 67042-4300
(316) 321-7777
(316) 321-6115
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N008009
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
N008009
—
KS
Enumeration date
01/03/2017
Last updated
01/03/2017
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