Organization
ALLIE'S VILLAGE MEMORY CARE HOMES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DIANNE ENSMINGER (CEO/OWNER)
(785) 856-4181
Entity
Organization
Contact information
Practice address
1701 RESEARCH PARK DR, LAWRENCE, KS 66049-3883
(785) 856-4181
Mailing address
1701 RESEARCH PARK DR, LAWRENCE, KS 66049-3883
(785) 856-4181
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B023016
KS
Other
Enumeration date
11/06/2013
Last updated
11/06/2013
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