Local City Search for Care Homes, Nursing Homes, Assisted Living, Skilled Nursing and Home CareSERENITY HOUSE WICHITA
Adult Care Home
Wichita, Kansas
Provider NPI: 1871730069
Organization Information:Organization Name: SERENITY HOUSE WICHITA
Practice Location:
2706 FAIRMOUNT ST WICHITA, KS 67220 US
Tel: 316-461-7745 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Other Provider Identifiers:
Code values:
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin
Practice Location:
2706 FAIRMOUNT ST WICHITA, KS 67220 US
Tel: 316-461-7745 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 311ZA0620X | Nursing & Custodial Care Facilities Custodial Care Facility Adult Care Home | KS | B087161 |
Other Provider Identifiers:
| Issuer | Number | State | Type |
|---|---|---|---|
| STATE LICENSE | B087161 | KS | 01 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin