Organization
MIDWEST HOMESTEAD OF LEAWOOD OPERATIONS, LLC
Active
Other names
HOMESTEAD OF LEAWOOD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D TRYON (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
12720 STATE LINE RD, LEAWOOD, KS 66209-1619
(913) 663-3351
(913) 894-4147
Mailing address
3715 SW 29TH ST, TOPEKA, KS 66614-2107
(785) 272-1535
(785) 272-1480
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
200303680A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200303680A
—
KS
Enumeration date
12/11/2006
Last updated
09/19/2013
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