Organization
EAGLECREST LLC
Active
Other names
Eaglecrest Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BRENDA SUE O'GORMAN M.B.A. (EXECUTIVE DIRECTOR)
(785) 309-1501
Entity
Organization
Contact information
Practice address
1501 E MAGNOLIA RD, SALINA, KS 67401-9112
(785) 309-1501
(785) 309-1502
Mailing address
1501 E MAGNOLIA RD, SALINA, KS 67401-9112
(785) 309-1501
(785) 309-1502
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N085012
KS
Other
Enumeration date
01/23/2007
Last updated
08/22/2020
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