# GOLDEN BOOMERS HOME PLUS LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215302278
- **Authorized official:** CHRISTINE NGUYEN OPERATOR (CEO, OPERATOR)
- **Authorized official phone:** (316) 730-3110

## Contact information

- **Practice address:** 6953 E KENTFORD CIR, WICHITA, KS 67226-1026
- **Practice address phone:** (316) 730-3110
- **Mailing address:** 9306 E CARSON ST, WICHITA, KS 67210-2430
- **Mailing address phone:** (316) 730-3110

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | 365 | KS | Yes |

## Other

- **Enumeration date:** 12/02/2015
- **Last updated:** 02/18/2016