Organization
MIDWEST HOMESTEAD OF LEAVENWORTH OPERATIONS, LLC
Active
Other names
LEAVENWORTH HOMESTEAD
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D TRYON (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
5150 HUGHES RD, LEAVENWORTH, KS 66048-4973
(913) 727-9600
(913) 727-9604
Mailing address
3715 SW 29TH ST, TOPEKA, KS 66614-2107
(785) 272-1535
(785) 440-0380
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
—
KS
Other
Enumeration date
12/11/2006
Last updated
08/22/2020
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