17D0971319 CLIA NUMBER - BROOKDALE MCPHERSON

Laboratory Demographics

CLIA Number: 17D0971319

Facility Name: BROOKDALE MCPHERSON

Facility Address:
1460 N MAIN
MCPHERSON, KS
ZIP 67460
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Facility Phone Number: 620 241-6600

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1659437283

Taxonomy: 310400000X - 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.

CLIA Record

Field Name	Field Value
CLIA Number	17D0971319
LAB Type	Assisted Living Facility
Facility Name	BROOKDALE MCPHERSON
Street	1460 N MAIN
City	MCPHERSON
State	KS
ZIP	67460
Phone	620 241-6600
CertificateType	4
CertificateEffectiveDate	3/10/2024
CertificateExpirationDate	3/9/2026
FacilityType	Waiver

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This page was last updated on: 4/23/2024