# ICT 13 SNF, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Regent Park Rehabilitation and Healthcare
- **Organization subpart:** No

## Provider details

- **NPI number:** 1154696144
- **Authorized official:** MR. PHILIP BROOKS (VICE PRESIDENT / CFO)
- **Authorized official phone:** (316) 733-1144

## Contact information

- **Practice address:** 10604 E 13TH ST N, WICHITA, KS 67206-3706
- **Practice address phone:** (316) 733-1144
- **Mailing address:** 10604 E 13TH ST N, WICHITA, KS 67206-3706
- **Mailing address phone:** (316) 733-1144

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N087070 | KS | Yes |

## Other

- **Enumeration date:** 03/09/2012
- **Last updated:** 09/17/2014

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 175527 | COVENTRY | KS |