Organization
HOMESTEAD OF CRESTON OPERATIONS LLC
Active
Other names
Prairie View Assistant Living
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MIKE TRYON (CHIEF FINANCE OFFICER)
(785) 228-7913
Entity
Organization
Contact information
Practice address
1709 WEST PRAIRIE STREET, CRESTON, IA 50801
(641) 782-3131
(641) 782-3176
Mailing address
3715 SW 29TH STREET, TOPEKA, KS 66614
(785) 272-1535
(785) 272-1480
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
S0270
IA
Other
Enumeration date
03/31/2008
Last updated
11/10/2011
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