# KINGSTON TRILOGY HOLDINGS LLC

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

## Provider details

- **NPI number:** 1407355720
- **Authorized official:** SYREETA BULGIN (OWNER/OPERATOR)
- **Authorized official phone:** (774) 361-4056

## Contact information

- **Practice address:** 1822 N BRUNSWICK ST, WICHITA, KS 67212-1588
- **Practice address phone:** (774) 361-4056
- **Mailing address:** 1822 N BRUNSWICK ST, WICHITA, KS 67212-1588
- **Mailing address phone:** (774) 361-4056

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/02/2018
- **Last updated:** 02/02/2018