Organization
THE GRESHAM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN JADE FORD (OPERATOR)
(913) 274-0740
Entity
Organization
Contact information
Practice address
1730 N NORTHWEST PKWY, WICHITA, KS 67212-1548
(316) 252-3004
Mailing address
1730 N NORTHWEST PKWY, WICHITA, KS 67212-1548
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Enumeration date
03/04/2022
Last updated
03/11/2026
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