# MOC WICHITA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Rapid Recovery Center of Wichita
- **Organization subpart:** No

## Provider details

- **NPI number:** 1962940288
- **Authorized official:** ANDY VAN ZEE (AUTHORIZED REPRESENTATIVE)
- **Authorized official phone:** (317) 582-6932

## Contact information

- **Practice address:** 7057 W VILLAGE CIRCLE, WICHITA, KS 67205
- **Practice address phone:** (317) 582-6932
- **Mailing address:** 14390 CLAY TERRACE BLVD, SUITE 205, CARMEL, IN 46032-3627
- **Mailing address phone:** (317) 582-6932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 310400000X | Assisted Living Facility | — | — | — |
| 314000000X | Skilled Nursing Facility | — | — | Yes |

## Other

- **Enumeration date:** 02/07/2017
- **Last updated:** 02/07/2017