Individual
MR. CELESTINE FOMEZA FOTECK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
5353 N TOBEN CT, BEL AIRE, KS 67226-8846
(316) 932-3615
Mailing address
5353 N TOBEN CT, BEL AIRE, KS 67226-8846
(316) 932-3615
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
B087134
KS
Other
Enumeration date
08/12/2026
Last updated
08/12/2026
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