Organization
DOVE ESTATES SENIOR LIVING COMMUNITY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS JACQUELINE JADIDIAN LNHA (EXECUTIVE DIRECTOR)
(316) 550-6343
Entity
Organization
Contact information
Practice address
1400 S 183RD ST W, GODDARD, KS 67052-9357
(316) 550-6343
(316) 550-6467
Mailing address
1400 S 183RD ST W, GODDARD, KS 67052-9357
(316) 550-6343
(316) 550-6467
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N087082
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201115690A
—
KS
Enumeration date
01/28/2016
Last updated
01/28/2016
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