Organization
GOLDEN BOOMERS HOME PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
CHRISTINE NGUYEN OPERATOR (CEO, OPERATOR)
(316) 730-3110
Entity
Organization
Contact information
Practice address
6953 E KENTFORD CIR, WICHITA, KS 67226-1026
(316) 730-3110
Mailing address
9306 E CARSON ST, WICHITA, KS 67210-2430
(316) 730-3110
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
365
KS
Other
Enumeration date
12/02/2015
Last updated
02/18/2016
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