Organization
VISTA PARK SENIOR LIVING
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. ELBA ABREU (OWNER)
(316) 305-3412
Entity
Organization
Contact information
Practice address
1226 S BYRON RD, WICHITA, KS 67209-1812
(316) 305-3412
(316) 425-8181
Mailing address
7931 W UNIVERSITY ST, WICHITA, KS 67209-2031
(316) 305-3412
(316) 425-8181
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087207
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
000000000
—
KS
Enumeration date
11/04/2014
Last updated
11/04/2014
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