Organization
CLEARWATER AL OPCO, LLC
Active
Other names
Clearwater Village/Harbor Home
Organization subpart
No
Provider details
NPI number
Authorized official
MR. WILLIAM MATTHEW NOVOTNY (CEO)
(785) 789-4750
Entity
Organization
Contact information
Practice address
440 N 4TH ST, CLEARWATER, KS 67026-9708
(620) 584-4257
(620) 584-4575
Mailing address
440 N 4TH ST, CLEARWATER, KS 67026-9708
(620) 584-4257
(620) 584-4575
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
11/11/2019
Last updated
11/11/2019
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