Organization · Type 2 NPI

Country Club Estates LP

Assisted Living Facility · Paola, KS

NPI number 1861612376 Active

Practice location

2 Lewis Dr
Paola, KS 66071-1126

Fax (913) 294-6969

Specialties and licenses

TaxonomyCodeLicense
Assisted Living Facility Primary 310400000XNone listed

Assisted Living Facility: A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.

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About NPI 1861612376

Country Club Estates LP's National Provider Identifier is 1861612376, issued on Apr 26, 2007. The primary taxonomy on file is Assisted Living Facility (310400000X), and the practice location is in Paola, KS. The record was last updated on Aug 22, 2020.