# MERIDIAN NURSING AND REHABILITATION CENTER, LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** MERIDIAN REHABILITATION & HEALTH CARE CENTER
- **Organization subpart:** No

## Provider details

- **NPI number:** 1932109634
- **Authorized official:** JOSEPH C TUTERA (PRESIDENT, CEO)
- **Authorized official phone:** (816) 444-0900

## Contact information

- **Practice address:** 1555 N MERIDIAN AVE, WICHITA, KS 67203-1942
- **Practice address phone:** (316) 942-8471
- **Practice address fax:** (316) 945-7682
- **Mailing address:** 1555 N MERIDIAN AVE, WICHITA, KS 67203-1942
- **Mailing address phone:** (316) 942-8471
- **Mailing address fax:** (316) 945-7682

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | N087003 | KS | Yes |

## Other

- **Enumeration date:** 07/26/2005
- **Last updated:** 04/23/2021

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 200329380A | — | KS |