# HP-WICHITA HILL INC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** College Hill Nursing and Rehab Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063610996
- **Authorized official:** DOUGLAS K MITTLEIDER (PRESIDENT)
- **Authorized official phone:** (770) 619-0866

## Contact information

- **Practice address:** 5005 E 21ST ST N, WICHITA, KS 67208-1604
- **Practice address phone:** (316) 685-9291
- **Practice address fax:** (316) 685-2099
- **Mailing address:** 5005 E 21ST ST N, WICHITA, KS 67208-1604
- **Mailing address phone:** (316) 685-9291
- **Mailing address fax:** (316) 685-2099

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N087018 | KS | Yes |

## Other

- **Enumeration date:** 07/03/2007
- **Last updated:** 09/21/2007