# ANTHEM WICHITA MANAGEMENT, LLC

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** AMC-WICHITA, LLC
- **Other names:** Chisholm Place
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699244384
- **Legal business name:** AMC-WICHITA, LLC
- **Authorized official:** MRS. MELISSA L DINSMORE LNHA (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (316) 558-5775

## Contact information

- **Practice address:** 1859 N WEBB RD, WICHITA, KS 67206-3413
- **Practice address phone:** (316) 558-5775
- **Practice address fax:** (316) 558-5763
- **Mailing address:** 1859 N WEBB RD, WICHITA, KS 67206-3413
- **Mailing address phone:** (316) 558-5775
- **Mailing address fax:** (316) 558-5763

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311500000X | Alzheimer Center (Dementia Center) | — | NULL | Yes |

## Other

- **Enumeration date:** 11/25/2018
- **Last updated:** 11/25/2018