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Organization

OXFORD DERBY MEMORY CARE, LLC

Active
Other names
Glen Carr House
Organization subpart
No

Provider details

NPI number
Authorized official
JASON WILEY (MANAGER)
(316) 201-3210
Entity
Organization

Contact information

Practice address
1433 N HAMILTON DR, DERBY, KS 67037-8919
(316) 788-9999
Mailing address
125 N MARKET ST, SUITE 1416, WICHITA, KS 67202-1721
(316) 201-3210

Taxonomy

Speciality
Code
Description
License number
State
311500000X
Alzheimer Center (Dementia Center)
Primary
N087073
KS
311500000X
Alzheimer Center (Dementia Center)
N087078
KS

Other

Enumeration date
01/10/2013
Last updated
01/10/2013
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