Organization
KENWOOD PLAZA, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TRACY L BARTLEY (CHIEF FINANCIAL OFFICER)
(785) 273-3383
Entity
Organization
Contact information
Practice address
607 E 1ST AVE, ST JOHN, KS 67576-2223
(620) 549-6133
(620) 549-9971
Mailing address
607 E 1ST AVE, ST JOHN, KS 67576-2223
(620) 549-6133
(620) 549-9971
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N093004
KS
Other
Enumeration date
12/29/2005
Last updated
08/22/2020
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