Provider Demographics
NPI:1679878201
Name:NEUVANT HOUSE OF LAWRENCE
Entity Type:Organization
Organization Name:NEUVANT HOUSE OF LAWRENCE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:
Authorized Official - Last Name:NIELSEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:308-730-0715
Mailing Address - Street 1:1216 BILTMORE DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCE
Mailing Address - State:KS
Mailing Address - Zip Code:66049-1995
Mailing Address - Country:US
Mailing Address - Phone:785-856-7900
Mailing Address - Fax:785-856-7901
Practice Address - Street 1:1216 BILTMORE DR
Practice Address - Street 2:
Practice Address - City:LAWRENCE
Practice Address - State:KS
Practice Address - Zip Code:66049-1995
Practice Address - Country:US
Practice Address - Phone:785-856-7900
Practice Address - Fax:785-856-7901
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-01-12
Last Update Date:2011-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSN023020311500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)