# REGENT PARK REHABILITATION AND HEALTHCARE

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

## Provider details

- **NPI number:** 1992248629
- **Authorized official:** HEATHER M. BERRY OTR/L (DIRECTOR OF REHABILITATION)
- **Authorized official phone:** (316) 337-5450

## Contact information

- **Practice address:** 10604 E 13TH ST N, WICHITA, KS 67206-3706
- **Practice address phone:** (316) 337-5450
- **Practice address fax:** (316) 558-5259
- **Mailing address:** 13408 E TALLOWOOD DR, WICHITA, KS 67230-1766
- **Mailing address phone:** (316) 616-4924
- **Mailing address fax:** (316) 558-5259

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 314000000X | Skilled Nursing Facility | 17-02419 | KS | Yes |

## Other

- **Enumeration date:** 11/29/2016
- **Last updated:** 11/29/2016

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 17-02419 | OT LICIENSE | KS |