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Organization
ICT 13 SNF, LLC
Active
Organization
ICT 13 SNF, LLC
Active
Other names
Regent Park Rehabilitation and Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP BROOKS (VICE PRESIDENT / CFO)
(316) 733-1144
Entity
Organization
Contact information
Practice address
10604 E 13TH ST N, WICHITA, KS 67206-3706
(316) 733-1144
Mailing address
10604 E 13TH ST N, WICHITA, KS 67206-3706
(316) 733-1144
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N087070
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175527
COVENTRY
KS
Enumeration date
03/09/2012
Last updated
09/17/2014
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