Organization
RL MAIZE CT 1
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN K ENGELS RN (OWNER/OPERATOR)
(316) 992-2119
Entity
Organization
Contact information
Practice address
623 S MAIZE CT, WICHITA, KS 67209-1337
(316) 201-6550
(316) 201-6552
Mailing address
623 S MAIZE CT., WICHITA, KS 67209-1337
(316) 201-6550
(316) 201-6552
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087189
KS
Other
Enumeration date
11/18/2011
Last updated
11/18/2011
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