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Organization
LAKEWOOD SENIOR LIVING OF SEVILLE, LLC
Active
Organization
LAKEWOOD SENIOR LIVING OF SEVILLE, LLC
Active
Other names
Lakewood Senior Living of Seville
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. APRIL M PUCCETTI NHA (VICE PRESIDENT OF OPERATIONS)
(205) 320-7507
Entity
Organization
Contact information
Practice address
1319 SEVILLE ST., WICHITA, KS 67209-1828
(316) 722-6916
(317) 722-5641
Mailing address
1319 SEVILLE ST., WICHITA, KS 67209-1828
(316) 722-6916
(316) 722-5641
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N087010
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100109700A
—
KS
05
—
200573270A
—
KS
Enumeration date
06/03/2006
Last updated
05/11/2010
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