NPI 1003442062

Peterson Assisted Living, LLC

Organisation Assisted Living Facility Osage City, KS

Practice location

Address: 629 Holliday St, Osage City, KS 66523-1137
Phone: (785) 528-3301
Fax: (785) 528-1124

Authorised official

Name: Patricia Kay Gundy
Title: Operator/Owner
Phone: (785) 528-3301

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1003442062
Entity type: Organization
NPI issued: 20 Mar 2020
Record last updated: 20 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.