Organization
REGENT PARK REHABILITATION AND HEALTHCARE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
HEATHER M. BERRY OTR/L (DIRECTOR OF REHABILITATION)
(316) 337-5450
Entity
Organization
Contact information
Practice address
10604 E 13TH ST N, WICHITA, KS 67206-3706
(316) 337-5450
(316) 558-5259
Mailing address
13408 E TALLOWOOD DR, WICHITA, KS 67230-1766
(316) 616-4924
(316) 558-5259
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
17-02419
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
17-02419
OT LICIENSE
KS
Enumeration date
11/29/2016
Last updated
11/29/2016
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