# LAKEPOINT WICHITA, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lakepoint Retirement & Rehab Center of Wichita
- **Organization subpart:** No

## Provider details

- **NPI number:** 1275536609
- **Authorized official:** MRS. CHERYL L LAVALLEE (COO)
- **Authorized official phone:** (316) 260-9494

## Contact information

- **Practice address:** 1315 N WEST ST, WICHITA, KS 67203-1382
- **Practice address phone:** (316) 943-1294
- **Practice address fax:** (316) 943-8190
- **Mailing address:** 1315 N WEST ST, WICHITA, KS 67203-1382
- **Mailing address phone:** (316) 943-1294
- **Mailing address fax:** (316) 943-8190

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | N087049 | KS | — |
| 314000000X | Skilled Nursing Facility | N087049 | KS | Yes |

## Other

- **Enumeration date:** 05/31/2005
- **Last updated:** 12/21/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 100429630A | — | KS |
| 05 | — | 100455930A | — | KS |
