Individual
ADELLA CHRISTINE RUCKER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
632 COURTLEIGH ST, WICHITA, KS 67218-2804
(316) 512-6019
Mailing address
508 E SHADE, ANDOVER, KS 67002-8633
(316) 512-6019
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
212
KS
Other
Enumeration date
06/11/2025
Last updated
06/11/2025
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