Organization
LIFECARE CENTER OF WICHITA
Active
Other names
Lifecare Centers of America
Organization subpart
No
Provider details
NPI number
Authorized official
MS. BONNIE JACKSON R.N. (EXECUTIVE DIRECTOR)
(316) 686-5100
Entity
Organization
Contact information
Practice address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
(316) 686-5100
Mailing address
622 N EDGEMOOR ST, WICHITA, KS 67208-3602
(316) 686-5100
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
17-02172
KS
Other
Enumeration date
01/20/2008
Last updated
01/20/2008
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