Organization
THE RESIDENCIES AT PLEASANTON
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHIRLENE JOHNSON (OPERATOR)
(913) 352-6658
Entity
Organization
Contact information
Practice address
706 WEST 15TH STREET, #418, PLEASANTON, KS 66075-0418
(913) 352-6658
Mailing address
706 W. 15TH ST., PO BOX 418, PLEASANTON, KS 66075
(913) 352-6658
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N054005
KS
Other
Enumeration date
03/07/2007
Last updated
08/22/2020
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