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Organization
MAYBERRY SENIOR LIVING LLC
Active
Organization
MAYBERRY SENIOR LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRYSTA SCHMIDT RN (OWNER)
(316) 390-6941
Entity
Organization
Contact information
Practice address
244 N RUTAN ST, WICHITA, KS 67208-3329
(316) 390-6941
Mailing address
244 N RUTAN ST, WICHITA, KS 67208-3329
(316) 390-6941
Taxonomy
Speciality
Code
Description
License number
State
174200000X
Meals Provider
—
NULL
177F00000X
Lodging Provider
—
NULL
311ZA0620X
Adult Care Home Facility
Primary
—
NULL
Other
Enumeration date
01/24/2023
Last updated
01/24/2023
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