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Organization
WEST WICHITA ASSISTED LIVING, LLC
Active
Organization
WEST WICHITA ASSISTED LIVING, LLC
Active
Other names
Avita Senior Living at Rolling Hills
Organization subpart
No
Provider details
NPI number
Authorized official
FRED HERMES (MANAGING MEMBER)
(316) 773-1313
Entity
Organization
Contact information
Practice address
629 S. MAIZE CT, WICHITA, KS 67209
(316) 361-2550
Mailing address
7200 W 13TH, SUITE 10, WICHITA, KS 67212
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
N087067
KS
Other
Enumeration date
09/04/2012
Last updated
09/04/2012
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