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Organization

GRACE COTTAGE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
REGINA LEHMAN BSN RN (DON/OWNER)
(316) 990-2366
Entity
Organization

Contact information

Practice address
531 N CRESTLINE ST, WICHITA, KS 67212-4618
(316) 990-2366
(316) 990-2373
Mailing address
531 N CRESTLINE ST, WICHITA, KS 67212-4618
(316) 990-2366
(316) 990-2373

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
B087219
KS

Other

Enumeration date
12/05/2017
Last updated
12/05/2017
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