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NPI Code Detail

MEDICARE: LEXINGTON PARK ASSISTED LIVING OPERATIONS, LLC

MEDICARE: LEXINGTON PARK ASSISTED LIVING OPERATIONS, LLC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1310400000XAssisted Living FacilityKS

General Provider Information

NPI Number : 1700946548
Entity Type Code : Organization
Provider Name (Legal Business Name) : LEXINGTON PARK ASSISTED LIVING OPERATIONS, LLC
Provider Business Mailing Address
First Line : 3715 SW 29TH ST
Second Line :
City : TOPEKA
State : KS
Zip : 66614-2107
Country : US
Telephone Number : 785-272-1535
Fax Number : 785-440-0380
Provider Business Practice Location Address
First Line : 1021 SW FLEMING CT
Second Line :
City : TOPEKA
State : KS
Zip : 66604-1851
Country : US
Telephone Number : 785-440-0399
Fax Number : 785-440-0498
Authorized Official
Title or Position : CFO
Name : MR. MICHAEL D TRYON
Credential :
Telephone Number : 785-272-1535
Provider Enumeration Date : 12/11/2006
Last Update Date : 08/22/2020

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