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Organization
GEORGETOWN BY AXIOM LLC
Active
Organization
GEORGETOWN BY AXIOM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA KRUSE (CFO)
(316) 500-7930
Entity
Organization
Contact information
Practice address
1655 S GEORGETOWN ST, WICHITA, KS 67218-4111
(316) 685-0400
Mailing address
10300 W MAPLE ST, WICHITA, KS 67209-3135
(316) 500-7930
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Enumeration date
07/02/2026
Last updated
07/02/2026
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