LAKEPOINT WICHITA, LLC
Skilled Nursing Facility
Wichita, Kansas
Provider NPI: 1275536609
Organization Information:Organization Name: LAKEPOINT WICHITA, LLC
Practice Location:
1315 N WEST ST WICHITA, KS 67203 US
Tel: 316-943-1294 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:
1315 N WEST ST WICHITA, KS 67203 US
Tel: 316-943-1294 Fax: --
Business Mailing Address:
,
Tel: -- Fax: --
Taxonomy:
Primary | Code | Category/Description | State | License Number |
---|---|---|---|---|
N | 251E00000X | Agencies Home Health | KS | N087049 |
Y | 314000000X | Nursing & Custodial Care Facilities Skilled Nursing Facility | KS | N087049 |
Other Provider Identifiers:
Issuer | Number | State | Type |
---|---|---|---|
100429630A | KS | 05 | |
100455930A | KS | 05 |
01, Other | 02, Medicare Upin | 04, Medicare Id-Type Unspecified
05, Medicaid | 06, Medicare Oscar/Certification | 07, Medicare NSC | 08, Medicare Pin