Organization
SERENITY HOUSE WICHITA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA C MARLOWE (ADMINSTRATOR/OPERATOR)
(316) 461-7745
Entity
Organization
Contact information
Practice address
2706 FAIRMOUNT ST, WICHITA, KS 67220-2413
(316) 461-7745
Mailing address
2706 FAIRMOUNT ST, WICHITA, KS 67220-2413
(316) 461-7745
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087161
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
B087161
STATE LICENSE
KS
Enumeration date
01/09/2009
Last updated
01/09/2009
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