Abilene 1102 West Bg Opco LLC

NPI #1609323765 in Abilene, Kansas

Provider Information

NPI Number
1609323765
Entity Type
Organization
Organization Name
Abilene 1102 West Bg Opco LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Sep 7, 2016
Last Updated
Sep 27, 2016

Practice Location

Address
1102 N VINE ST
State
Kansas
ZIP Code
67410-4015
Phone
(785) 263-7800

Authorized Official

Name
PETER TARSNEY
Title
AUTHORIZED SIGNATORY
Phone
(312) 725-7000

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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