NPI 1063505683

Assisted Lifestyles of Blackhawk INC.

Organisation Assisted Living Facility Spring Hill, KS

Practice location

Address: 22550 S. Franklin, Spring Hill, KS 66083
Phone: (913) 592-5101
Fax: (913) 829-7975

Authorised official

Name: Gary Aull
Title: Owner
Phone: (913) 592-5101

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X Licence N-046-066 (KS)

Other Assisted Living Facility providers in Kansas →

Registry record

NPI: 1063505683
Entity type: Organization
NPI issued: 2 Oct 2006
Record last updated: 22 Aug 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.