Organization
PIONEER RIDGE NURSING FACILITY OPERATIONS, LLC
Active
Other names
Pioneer Ridge Retirement Community
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE D TRYON (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
4851 HARVARD ROAD, LAWRENCE, KS 66049
(785) 749-2000
(785) 344-1199
Mailing address
3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498
(785) 228-7913
(785) 438-5513
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
100112080A
KS
314000000X
Skilled Nursing Facility
Primary
175445
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100112080A
—
KS
Enumeration date
12/11/2006
Last updated
07/18/2018
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