Organization
SENIORCARE HOMES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. JERALD LESLIE PULLINS JR. (PRESIDENT)
(913) 236-0036
Entity
Organization
Contact information
Practice address
6918 W 68TH ST, OVERLAND PARK, KS 66204-1301
(913) 236-0036
Mailing address
5200 W 94TH TER, SUITE 115, PRAIRIE VILLAGE, KS 66207-2522
(913) 236-0036
(913) 432-3055
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
B046036
KS
311ZA0620X
Adult Care Home Facility
Primary
B046040
KS
Other
Enumeration date
04/29/2009
Last updated
04/29/2009
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