Homestead of Russell Operations, LLC

NPI #1992240675 in Russell, Kansas

Provider Information

NPI Number
1992240675
Entity Type
Organization
Organization Name
Homestead of Russell Operations, LLC
Primary Specialty
Assisted Living Facility
Enumeration Date
Jan 4, 2017
Last Updated
Jan 4, 2017

Practice Location

Address
1070 E WICHITA AVE
State
Kansas
ZIP Code
67665-2409
Phone
(785) 483-5882

Authorized Official

Name
MICHAEL D TRYON, CPA
Title
CFO
Phone
(785) 272-1535

Specialties & Taxonomy Codes

Specialty
Assisted Living Facility

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