Organization
HOMESTEAD OF CRESTVIEW OPERATIONS LLC
Active
Other names
Homestead of Crestview
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL D TRYON (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
600 N 127TH ST E, WICHITA, KS 67206-2807
(316) 733-8100
Mailing address
3715 SW 29TH ST, SUITE 200, TOPEKA, KS 66614-2107
(785) 272-1535
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N087059
KS
Other
Enumeration date
05/04/2016
Last updated
05/04/2016
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