# LIFECARE CENTER OF WICHITA

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Lifecare Centers of America
- **Organization subpart:** No

## Provider details

- **NPI number:** 1326224361
- **Authorized official:** MS. BONNIE JACKSON R.N. (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (316) 686-5100

## Contact information

- **Practice address:** 622 N EDGEMOOR ST, WICHITA, KS 67208-3602
- **Practice address phone:** (316) 686-5100
- **Mailing address:** 622 N EDGEMOOR ST, WICHITA, KS 67208-3602
- **Mailing address phone:** (316) 686-5100

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 17-02172 | KS | Yes |

## Other

- **Enumeration date:** 01/20/2008
- **Last updated:** 01/20/2008