Organization
PLATINUM CARE HOMES LLC
Active
Other names
Platinum Care Homes LLC
Organization subpart
No
Provider details
NPI number
Authorized official
PAULA DENISE MACK OWNER (OPERATOR)
(316) 807-6761
Entity
Organization
Contact information
Practice address
5701 E 17TH ST N, WICHITA, KS 67208-1703
(316) 807-6761
(316) 239-7821
Mailing address
5701 E 17TH ST N, WICHITA, KS 67208-1703
(316) 807-6761
(316) 239-7821
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
Other
Enumeration date
10/27/2022
Last updated
10/27/2022
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