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Organization

LIFE CARE CENTER WICHITA

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. TONYA M MARCHAND MA CCC/SLP (SPEECH THEARPIST)
(316) 409-6352
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
2505
KS

Other

Enumeration date
05/09/2012
Last updated
05/09/2012
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