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Organization

MIDWEST HOMESTEAD OF WICHITA OPERATIONS, LLC

Active
Other names
HOMESTEAD OF WHICHITA
Organization subpart
No

Provider details

NPI number
Authorized official
MR. MICHAEL D TRYON (CFO)
(785) 272-1535
Entity
Organization

Contact information

Practice address
12221 W MAPLE ST, WICHITA, KS 67235-8751
(316) 729-2400
(316) 729-2403
Mailing address
3715 SW 29TH ST, TOPEKA, KS 66614-2107
(785) 272-1535
(785) 440-0380

Taxonomy

Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
KS

Other

Enumeration date
12/11/2006
Last updated
08/22/2020
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