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Organization
OXFORD DERBY MEMORY CARE, LLC
Active
Organization
OXFORD DERBY MEMORY CARE, LLC
Active
Other names
Glen Carr House
Organization subpart
No
Provider details
NPI number
Authorized official
JASON WILEY (MANAGER)
(316) 201-3210
Entity
Organization
Contact information
Practice address
1433 N HAMILTON DR, DERBY, KS 67037-8919
(316) 788-9999
Mailing address
125 N MARKET ST, SUITE 1416, WICHITA, KS 67202-1721
(316) 201-3210
Taxonomy
Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
N087073
KS
311500000X
Alzheimer Center (Dementia Center)
N087078
KS
Other
Enumeration date
01/10/2013
Last updated
01/10/2013
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