Organization
MI CASA CARE HOMES - TYLER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MONICA MORALES PMHNP-BC (OWNER)
(316) 258-3111
Entity
Organization
Contact information
Practice address
968 N TYLER RD, WICHITA, KS 67212-3240
(316) 777-6655
Mailing address
902 W 29TH ST N STE 102, WICHITA, KS 67204-4809
(316) 777-6655
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
—
—
313M00000X
Nursing Facility/Intermediate Care Facility
—
—
Other
Enumeration date
05/20/2025
Last updated
06/10/2025
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