Organization
DEER PARK SENIOR GROUP HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LAURA M RICH-FORBES (OPERATOR)
(785) 484-2165
Entity
Organization
Contact information
Practice address
6313 HIGHWAY K4, MERIDEN, KS 66512-9220
(785) 484-2165
Mailing address
6313 HIGHWAY K4, MERIDEN, KS 66512-9220
(785) 484-2165
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B044001
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00100436750
—
KS
05
—
00102102889
—
KS
05
—
00102216588
—
KS
Enumeration date
09/20/2007
Last updated
09/20/2007
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