NPI 1093419764

Pnc Group LLC

Organisation Adult Care Home Facility Wichita, KS

Practice location

Address: 5501 E Polo Dr, Wichita, KS 67208-2753
Phone: (316) 806-9242

Authorised official

Name: Derek S Hammond
Title: Owner
Phone: (316) 806-9242

Registered specialties (2)

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

Other Custodial Care Facility providers in Kansas →

Assisted Living Facility

Nursing & Custodial Care Facilities Taxonomy 310400000X

Other Assisted Living Facility providers in Kansas →

Registry record

NPI: 1093419764
Entity type: Organization
NPI issued: 28 Mar 2023
Record last updated: 28 Mar 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.