Organization
ULTRA CARE HOME PLUS LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TOLULOPE KADIRI (OPERATOR)
(316) 990-5476
Entity
Organization
Contact information
Practice address
11537 E HARRY ST, WICHITA, KS 67207-6225
(316) 990-5476
Mailing address
11537 E HARRY ST, WICHITA, KS 67207-6225
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087220
KS
Other
Enumeration date
05/11/2017
Last updated
05/11/2017
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