Organization
HEARTLAND ASSITED LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
PHYLLIS HORNBAKER (OWNER,DIRECTOR)
(913) 248-6600
Entity
Organization
Contact information
Practice address
16207 MIDLAND DR, SHAWNEE, KS 66217-9499
(913) 248-6600
Mailing address
16207 MIDLAND DR, SHAWNEE, KS 66217-9499
(913) 248-6600
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N046056
KS
Other
Enumeration date
03/12/2007
Last updated
08/22/2020
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