Organization
PNC GROUP LLC
Active
Other names
Advanced Care Home Plus
Organization subpart
No
Provider details
NPI number
Authorized official
DEREK S HAMMOND (OWNER)
(316) 806-9242
Entity
Organization
Contact information
Practice address
5501 E POLO DR, WICHITA, KS 67208-2753
(316) 806-9242
Mailing address
5501 E POLO DR, WICHITA, KS 67208-2753
(316) 806-9242
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
03/28/2023
Last updated
03/28/2023
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