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Organization
RESIDENCE BEGONIA II AT CRESTVIEW LLC
Active
Organization
RESIDENCE BEGONIA II AT CRESTVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE TANG DISASI (CEO)
(316) 616-5306
Entity
Organization
Contact information
Practice address
15 CRESTVIEW LAKES EST, WICHITA, KS 67220-2913
(316) 616-5306
(316) 201-6136
Mailing address
8714 E HARRY CT, WICHITA, KS 67207-4616
(316) 616-5306
(316) 201-6136
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
NULL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B087209
KDADS
—
Enumeration date
06/18/2019
Last updated
06/18/2019
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