| NPI | 1700321486 |
|---|---|
| Doing Business As | HOMESTEAD OF DERBY |
| Entity Type | Organization |
| Authorized Contact | MICHAEL D TRYON CFO 785-272-1535 |
| Organization Subpart ? | No |
| Primary Taxonomy | 310400000X Assisted Living Facility (Licence: KS N087036) |
| Enumeration Date | 2017-01-04 |
| Last Update Date | 2017-01-04 |