17D2188121 CLIA NUMBER - GUEST HOME ESTATES II

Laboratory Demographics

CLIA Number: 17D2188121

Facility Name: GUEST HOME ESTATES II

Facility Address:
1202 S PLUMMER
CHANUTE, KS
ZIP 66720
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Facility Phone Number: 620 431-9509

Facility Type: Assisted Living Facility

Certificate Type: Waiver

NPI Number: 1538292792

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	17D2188121
LAB Type	Assisted Living Facility
Facility Name	GUEST HOME ESTATES II
Street	1202 S PLUMMER
City	CHANUTE
State	KS
ZIP	66720
Phone	620 431-9509
CertificateType	4
CertificateEffectiveDate	7/13/2022
CertificateExpirationDate	7/12/2024
FacilityType	Waiver

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