EAGLECREST LLC NPI 1417002429

NPI Information

EAGLECREST LLC is an assisted living facility in Salina, KS. The provider is 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. EAGLECREST LLC NPI is 1417002429. The provider is registered as an organization entity type.
The provider Is Doing Business As Eaglecrest Retirement Community.

The provider's business location address is:

1501 E MAGNOLIA RD
SALINA, KS
ZIP 67401-112
Phone: (785) 309-1501
Fax: (785) 309-1502

The provider's authorized official is Brenda Sue O'gorman .
The authorized official title is Executive Director and has the following contact phone number (785) 309-1501.

The CLIA number assigned to this NPI record is 17D2114049 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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