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Organization
RL MAIZE CT 2
Active
Organization
RL MAIZE CT 2
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SUSAN KAY ENGELS (OWNER/OPERATOR)
(316) 992-2119
Entity
Organization
Contact information
Practice address
625 S. MAIZE CT, WICHITA, KS 67209-2207
(316) 992-2119
Mailing address
625 S. MAIZE CT, WICHITA, KS 67209-2207
(316) 992-2119
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087188
KS
Other
Enumeration date
01/27/2012
Last updated
01/27/2012
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