Organization
MOC WICHITA LLC
Active
Other names
Rapid Recovery Center of Wichita
Organization subpart
No
Provider details
NPI number
Authorized official
ANDY VAN ZEE (AUTHORIZED REPRESENTATIVE)
(317) 582-6932
Entity
Organization
Contact information
Practice address
7057 W VILLAGE CIRCLE, WICHITA, KS 67205
(317) 582-6932
Mailing address
14390 CLAY TERRACE BLVD, SUITE 205, CARMEL, IN 46032-3627
(317) 582-6932
Taxonomy
Speciality
Code
Description
License number
State
310400000X
Assisted Living Facility
—
—
314000000X
Skilled Nursing Facility
Primary
—
—
Other
Enumeration date
02/07/2017
Last updated
02/07/2017
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