NPI 1720651854

Homestead of Kingfisher Operations LLC

Organisation Assisted Living Facility Kingfisher, OK

Practice location

Address: 1604 S 13th St, Kingfisher, OK 73750-4619
Phone: (405) 778-2071
Mailing address: 3024 SW Wanamaker Rd STE 300, Topeka, KS 66614-4498

Authorised official

Name: Michael D Tryon
Title: Cfo
Phone: (785) 272-1535

Registered specialties

Assisted Living Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310400000X

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Registry record

NPI: 1720651854
Entity type: Organization
NPI issued: 16 Jul 2021
Record last updated: 16 Jul 2021

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.