Homestead Estates Home Plus

NPI #1851761332 in Liberal, Kansas

Provider Information

NPI Number
1851761332
Entity Type
Organization
Organization Name
Homestead Estates Home Plus
Primary Specialty
Custodial Care Facility - Adult Care Home
Enumeration Date
Sep 28, 2015
Last Updated
Sep 28, 2015

Practice Location

Address
1140 S PERSHING AVE
State
Kansas
ZIP Code
67901-4519
Phone
(620) 626-5672

Authorized Official

Name
MICHELLE L LOCK-GOOCH
Title
OPERATOR
Phone
(620) 626-5672

Specialties & Taxonomy Codes

Specialty
Custodial Care Facility - Adult Care HomeAdult Care Home

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