Organization
MIDWEST HOMESTEAD OF OLATHE OPERATIONS, LLC
Active
Other names
HOMESTEAD OF OLATHE - SOUTH
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MICHAEL D TRYON (CFO)
(785) 272-1535
Entity
Organization
Contact information
Practice address
751 N SOMERSET TER, OLATHE, KS 66062-5450
(913) 829-4663
(913) 829-6495
Mailing address
3715 SW 29TH ST, TOPEKA, KS 66614-2107
(785) 272-1535
(785) 440-0380
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
200304040B
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200304040B
—
KS
Enumeration date
12/19/2006
Last updated
08/02/2013
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