Organization
THE CARING CENTER OF WICHITA, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
AMANDA ZLUTICKY (BILLING MANAGER)
(316) 260-2831
Entity
Organization
Contact information
Practice address
714 S HILLSIDE ST, WICHITA, KS 67211-3002
(316) 295-4800
(316) 295-4811
Mailing address
714 S HILLSIDE ST, WICHITA, KS 67211-3002
(316) 295-4800
(316) 295-4811
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
201127650A
—
KS
01
—
KA3627
MEDICARE PTAN
KS
Enumeration date
05/28/2015
Last updated
02/04/2020
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