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General NPI Number Information
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NPI Number | 1366311680
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Entity Type | Organization
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Legal Business Name | KEEP LIVING HOME PLUS, LLC
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Dates
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Enumeration Date | 11/04/2025
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Last Update Date | 11/04/2025
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Provider Practice Location Address
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Address Line | 750 NW WALNUT LN
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City | TOPEKA
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State | KS
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Zip | 66617-1257
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Country | US
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Telephone | 785-496-9969
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Fax | 785-496-9950
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Provider Business Mailing Address
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Address Line | 750 NW WALNUT LN
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City | TOPEKA
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State | KS
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Zip | 66617-1257
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Country | US
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Telephone | 785-496-9969
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Fax | 785-496-9950
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Authorized Official
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Title or Position | MANAGING OWNER
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Name | TAMARA L WILLITS
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Credential | RPH
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Telephone | 785-393-4655
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 311ZA0620X
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Taxonomy Name | Adult Care Home Facility
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License Number |
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License Number State |
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