Organization
RESIDENCE BEGONIA II AT CRESTVIEW LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRICE TANG DISASI (CEO)
(316) 616-5306
Entity
Organization
Contact information
Practice address
15 CRESTVIEW LAKES EST, WICHITA, KS 67220-2913
(316) 616-5306
(316) 201-6136
Mailing address
8714 E HARRY CT, WICHITA, KS 67207-4616
(316) 616-5306
(316) 201-6136
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B087209
KDADS
—
Enumeration date
06/18/2019
Last updated
06/18/2019
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