Organization
NEW LIFE HOME PLUS, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ARNOT W MUNGUYA OPERATOR (ADMINISTRATOR)
(316) 617-1788
Entity
Organization
Contact information
Practice address
1214 N CHARLOTTE ST, WICHITA, KS 67208-2657
(316) 867-2306
Mailing address
PO BOX 782431, WICHITA, KS 67278-2431
(316) 867-2306
(316) 358-7667
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
385H00000X
Respite Care
—
—
Other
Enumeration date
08/06/2019
Last updated
09/24/2019
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