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Organization
MOC WICHITA LLC
Active
Organization
MOC WICHITA LLC
Active
Other names
Rapid Recovery Center of Wichita
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY VAN ZEE (AUTHORIZED REPRESENTATIVE)
(317) 582-6932
Entity
Organization
Contact information
Practice address
7057 W VILLAGE CIRCLE, WICHITA, KS 67205
(317) 582-6932
Mailing address
14390 CLAY TERRACE BLVD, SUITE 205, CARMEL, IN 46032-3627
(317) 582-6932
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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