Organization
HOMESTEAD OF OTTAWA OPERATIONS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CODY FULKS (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
2250 S ELM ST, OTTAWA, KS 66067-4003
(785) 242-3715
Mailing address
3024 SW WANAMAKER RD STE 300, TOPEKA, KS 66614-4498
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
10/13/2025
Last updated
10/13/2025
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