Organization
DHHC
Active
Other names
R. Gray
Organization subpart
No
Provider details
NPI number
Authorized official
MR. RON GRAY (ADMINISTRATOR)
(316) 262-7376
Entity
Organization
Contact information
Practice address
401 S GREENWOOD ST, WICHITA, KS 67211
(316) 262-7376
(316) 262-7488
Mailing address
401 S GREENWOOD ST, WICHITA, KS 67211
(316) 262-7376
(316) 262-7488
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
A087039
KS
Other
Enumeration date
06/27/2007
Last updated
08/22/2020
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