Organization
ICT 13 SNF, LLC
Active
Other names
Regent Park Rehabilitation and Healthcare
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PHILIP BROOKS (VICE PRESIDENT / CFO)
(316) 733-1144
Entity
Organization
Contact information
Practice address
10604 E 13TH ST N, WICHITA, KS 67206-3706
(316) 733-1144
Mailing address
10604 E 13TH ST N, WICHITA, KS 67206-3706
(316) 733-1144
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N087070
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
175527
COVENTRY
KS
Enumeration date
03/09/2012
Last updated
09/17/2014
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