Organization
COLWICH GARDENS ASSISTED LIVING LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BRENDA KRUSE (CONTROLLER)
(316) 500-7930
Entity
Organization
Contact information
Practice address
300 E CHICAGO AVE, COLWICH, KS 67030-9243
(316) 260-1034
Mailing address
10300 W MAPLE ST, WICHITA, KS 67209-3135
(316) 448-0850
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NA
N/A
—
Enumeration date
12/10/2020
Last updated
12/10/2020
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