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Organization

LTAC HOSPITAL OF WICHITA, LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. TIMOTHY W. HOWARD (PRESIDENT)
(337) 269-9566
Entity
Organization

Contact information

Practice address
8080 E PAWNEE ST, WICHITA, KS 67207-5475
(316) 682-0004
(316) 682-5790
Mailing address
101 LA RUE FRANCE, 500, LAFAYETTE, LA 70508-3144
(337) 269-9566
(337) 234-1075

Taxonomy

Speciality
Code
Description
License number
State
282E00000X
Long Term Care Hospital
Primary

Other

Enumeration date
11/10/2010
Last updated
11/10/2010
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