NPI 1104543339

Platinum Care Homes LLC

Organisation Adult Care Home Facility Wichita, KS

Practice location

Address: 5701 E 17th St N, Wichita, KS 67208-1703
Phone: (316) 807-6761
Fax: (316) 239-7821

Authorised official

Name: Paula Denise Mack
Title: Operator
Phone: (316) 807-6761

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X

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Registry record

NPI: 1104543339
Entity type: Organization
NPI issued: 27 Oct 2022
Record last updated: 27 Oct 2022

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.