Organization
VIA CHRISTI VILLAGE GEORGETOWN
Active
Other names
Ascension Living Via Christi Village Georgetown
Organization subpart
No
Provider details
NPI number
Authorized official
MICHAEL R GORDON (CHIEF FINANCIAL OFFICER)
(314) 348-7621
Entity
Organization
Contact information
Practice address
1655 S GEORGETOWN ST, WICHITA, KS 67218-4140
(316) 685-0400
(316) 364-4401
Mailing address
1655 S GEORGETOWN ST, WICHITA, KS 67218-4140
(316) 685-0400
(316) 364-4401
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
N087051
ADULT CARE HOME
KS
Enumeration date
04/26/2021
Last updated
04/26/2021
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