# VIA CHRISTI VILLAGE GEORGETOWN

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Ascension Living Via Christi Village Georgetown
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598347817
- **Authorized official:** MICHAEL R GORDON (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (314) 348-7621

## Contact information

- **Practice address:** 1655 S GEORGETOWN ST, WICHITA, KS 67218-4140
- **Practice address phone:** (316) 685-0400
- **Practice address fax:** (316) 364-4401
- **Mailing address:** 1655 S GEORGETOWN ST, WICHITA, KS 67218-4140
- **Mailing address phone:** (316) 685-0400
- **Mailing address fax:** (316) 364-4401

## Taxonomy

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

## Other

- **Enumeration date:** 04/26/2021
- **Last updated:** 04/26/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | N087051 | ADULT CARE HOME | KS |