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PRISCILLA C NELSON

Adult Care Home

Wichita, Kansas

Provider NPI: 1497979959

Organization Information:
Organization Name:  PRISCILLA C NELSON


Practice Location:
1316 N CHARLOTTE  WICHITA, KS 67208 US
Tel: 316-440-4406  Fax: --

Business Mailing Address:
  ,   
Tel: --  Fax: --


Taxonomy:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
KSB087145

Other Provider Identifiers:

IssuerNumberStateType
200400780AKS05
200543750AKS05
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin




ADULT CARE JOBS KS - Page 1



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