Organization
EVERCARE LLC
Active
Other names
Foundation House
Organization subpart
No
Provider details
NPI number
Authorized official
KELLIE L EVERSON ADULT CARE DIRECTOR (DIRECTOR)
(785) 477-5321
Entity
Organization
Contact information
Practice address
16795 SAY RD, WAMEGO, KS 66547-9742
(785) 477-5321
Mailing address
3401 NE SEWARD AVE, TOPEKA, KS 66616-1651
(785) 286-6388
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B089077
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B089077
STATE OF KANSAS LICENSE TO OPERATE CARE HOME
KS
Enumeration date
08/26/2014
Last updated
08/26/2014
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