# PLATINUM CARE HOMES LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Platinum Care Homes LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1104543339
- **Authorized official:** PAULA DENISE MACK OWNER (OPERATOR)
- **Authorized official phone:** (316) 807-6761

## Contact information

- **Practice address:** 5701 E 17TH ST N, WICHITA, KS 67208-1703
- **Practice address phone:** (316) 807-6761
- **Practice address fax:** (316) 239-7821
- **Mailing address:** 5701 E 17TH ST N, WICHITA, KS 67208-1703
- **Mailing address phone:** (316) 807-6761
- **Mailing address fax:** (316) 239-7821

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/27/2022
- **Last updated:** 10/27/2022