# SERENITY HOUSE WICHITA

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

## Provider details

- **NPI number:** 1871730069
- **Authorized official:** MRS. LINDA C MARLOWE (ADMINSTRATOR/OPERATOR)
- **Authorized official phone:** (316) 461-7745

## Contact information

- **Practice address:** 2706 FAIRMOUNT ST, WICHITA, KS 67220-2413
- **Practice address phone:** (316) 461-7745
- **Mailing address:** 2706 FAIRMOUNT ST, WICHITA, KS 67220-2413
- **Mailing address phone:** (316) 461-7745

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B087161 | KS | Yes |

## Other

- **Enumeration date:** 01/09/2009
- **Last updated:** 01/09/2009

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | B087161 | STATE LICENSE | KS |