# COLWICH GARDENS ASSISTED LIVING LLC

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

## Provider details

- **NPI number:** 1437755766
- **Authorized official:** BRENDA KRUSE (CONTROLLER)
- **Authorized official phone:** (316) 500-7930

## Contact information

- **Practice address:** 300 E CHICAGO AVE, COLWICH, KS 67030-9243
- **Practice address phone:** (316) 260-1034
- **Mailing address:** 10300 W MAPLE ST, WICHITA, KS 67209-3135
- **Mailing address phone:** (316) 448-0850

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 12/10/2020
- **Last updated:** 12/10/2020

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | NA | N/A | — |