# GEORGETOWN BY AXIOM LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063339836
- **Authorized official:** BRENDA KRUSE (CFO)
- **Authorized official phone:** (316) 500-7930

## Contact information

- **Practice address:** 1655 S GEORGETOWN ST, WICHITA, KS 67218-4111
- **Practice address phone:** (316) 685-0400
- **Mailing address:** 10300 W MAPLE ST, WICHITA, KS 67209-3135
- **Mailing address phone:** (316) 500-7930

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 07/02/2026
- **Last updated:** 07/02/2026