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SERENITY 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:

PrimaryCodeCategory/DescriptionStateLicense Number
Y311ZA0620XNursing & Custodial Care Facilities
Custodial Care Facility
Adult Care Home
KSB087161

Other Provider Identifiers:

IssuerNumberStateType
STATE LICENSEB087161KS01
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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