# GRACIOUS SENIOR LIVING, LLC

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

## Provider details

- **NPI number:** 1669782231
- **Authorized official:** CHRISTINE BACCI (DIRECTOR OF OPERATIONS)
- **Authorized official phone:** (316) 771-7316

## Contact information

- **Practice address:** 551 S. HOLLAND, WICHITA, KS 67209
- **Practice address phone:** (316) 771-7316
- **Practice address fax:** (316) 771-7319
- **Mailing address:** 3825 E. HARRY, WICHITA, KS 67218-3722
- **Mailing address phone:** (316) 771-7316
- **Mailing address fax:** (316) 771-7319

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | B087171 | KS | Yes |

## Other

- **Enumeration date:** 10/18/2010
- **Last updated:** 10/18/2010

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B087171 | STATE NURSING HOME LICENSE | KS |