Organization
COMPASSIONATE CARE WEST LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. SHELLY J LUNSFORD R.N. (DIRECTOR)
(316) 440-4167
Entity
Organization
Contact information
Practice address
968 N TYLER RD, WICHITA, KS 67212-3240
(316) 440-4167
(316) 440-4169
Mailing address
968 N TYLER RD, WICHITA, KS 67212-3240
(316) 440-4167
(316) 440-4169
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087167
KS
Other
Enumeration date
11/05/2009
Last updated
11/05/2009
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