# ADVANCED CARE HOME PLUS LLC

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

## Provider details

- **NPI number:** 1861932766
- **Authorized official:** JEVANS ODHUNO RN (RN)
- **Authorized official phone:** (316) 777-6477

## Contact information

- **Practice address:** 5501 POLO DR, WICHITA, KS 67208-2753
- **Practice address phone:** (316) 777-6477
- **Practice address fax:** (316) 425-7898
- **Mailing address:** 5501 POLO DR, WICHITA, KS 67208-2753
- **Mailing address phone:** (316) 777-6477
- **Mailing address fax:** (316) 425-7898

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B087221 | KS | Yes |

## Other

- **Enumeration date:** 02/27/2017
- **Last updated:** 02/27/2017