# PREMIER LIVING BY WARDEN LLC

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

## Provider details

- **NPI number:** 1679814610
- **Authorized official:** BRANDI WARDEN (OWNER/ADMINISTRATOR)
- **Authorized official phone:** (316) 945-2028

## Contact information

- **Practice address:** 234 S ANNA ST, WICHITA, KS 67209-2404
- **Practice address phone:** (316) 945-2028
- **Practice address fax:** (316) 945-0670
- **Mailing address:** 234 S ANNA ST, WICHITA, KS 67209-2404
- **Mailing address phone:** (316) 945-2028
- **Mailing address fax:** (316) 945-0670

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 313M00000X | Nursing Facility/Intermediate Care Facility | B087119 | KS | Yes |

## Other

- **Enumeration date:** 03/14/2013
- **Last updated:** 03/14/2013

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200975520A | — | KS |