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Organization

KINGSTON TRILOGY HOLDINGS LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
SYREETA BULGIN (OWNER/OPERATOR)
(774) 361-4056
Entity
Organization

Contact information

Practice address
1822 N BRUNSWICK ST, WICHITA, KS 67212-1588
(774) 361-4056
Mailing address
1822 N BRUNSWICK ST, WICHITA, KS 67212-1588
(774) 361-4056

Taxonomy

Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary

Other

Enumeration date
02/02/2018
Last updated
02/02/2018
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