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Organization

RL MAIZE CT 2

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN KAY ENGELS (OWNER/OPERATOR)
(316) 992-2119
Entity
Organization

Contact information

Practice address
625 S. MAIZE CT, WICHITA, KS 67209-2207
(316) 992-2119
Mailing address
625 S. MAIZE CT, WICHITA, KS 67209-2207
(316) 992-2119

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087188
KS

Other

Enumeration date
01/27/2012
Last updated
01/27/2012
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