Organization
OTTAWA RETIREMENT PLAZA, INC.
Active
Other names
Ottawa Plaza
Organization subpart
No
Provider details
NPI number
Authorized official
KENNETH F RAUPACH (COO)
(513) 487-3600
Entity
Organization
Contact information
Practice address
1042 W 15TH ST, OTTAWA, KS 66067-3951
(785) 242-1127
(785) 242-1536
Mailing address
330 STRAIGHT ST, SUITE 330, CINCINNATI, OH 45219-1064
(513) 487-3600
(513) 487-3612
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
NO3006
KS
261QA0600X
Adult Day Care Clinic/Center
NO3006
KS
310400000X
Assisted Living Facility
Primary
NO3006
KS
332B00000X
Durable Medical Equipment & Medical Supplies
NO3006
KS
3747P1801X
Personal Care Attendant
NO3006
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100019200A
—
KS
01
—
NO3006
ADULT CARE HOME LICENSE
KS
Enumeration date
09/06/2005
Last updated
04/19/2012
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