Organization
HEALTHCARE OF WITCHITA, LLC
Active
Other names
College Hills Health & Rehabilitation
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS D JOHNSON (PRESIDENT)
(316) 685-9291
Entity
Organization
Contact information
Practice address
5005 E 21ST ST N, WICHITA, KS 67208-1604
(316) 685-9291
(316) 685-2099
Mailing address
5005 E 21ST ST N, WICHITA, KS 67208-1604
(316) 685-9291
(316) 685-2099
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
N087018
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1041150401
—
KS
Enumeration date
07/27/2006
Last updated
08/01/2008
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