Organization
PIONEER HOME LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
LINDA D. MCCOMBS (ADMIN)
(620) 355-6212
Entity
Organization
Contact information
Practice address
110 W. RAILROAD AVE, BOX 48, LAKIN, KS 67860-0048
(162) 035-5621
(620) 355-8043
Mailing address
110 WEST RAILROAD AVE., BOX 48, LAKIN, KS 67860-0048
(620) 355-6212
(620) 355-8043
Taxonomy
Speciality
Code
Description
License number
State
177F00000X
Lodging Provider
Primary
B047001
KS
Other
Enumeration date
03/27/2007
Last updated
08/22/2020
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