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Organization

MIDWEST HOMESTEAD OF LENEXA OPERATIONS, LLC

Active
Other names
HOMESTEAD OF LENEXA
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL D TRYON (CFO)
(785) 272-1535
Entity
Organization

Contact information

Practice address
8740 CAENEN LAKE RD, LENEXA, KS 66215-2069
(913) 894-0014
(913) 894-4147
Mailing address
3715 SW 29TH ST, TOPEKA, KS 66614-2107
(785) 272-1535
(785) 272-1480

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
200303670A
KS

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200303670A
KS
Enumeration date
12/11/2006
Last updated
09/19/2013
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