NPI 1356170906
Central Care Plus
Practice location
- Address
- 629 S Longfellow St, Wichita, KS 67207-2368
- Phone
- (316) 847-3170
- Mailing address
- 5112 E Central Ave, Wichita, KS 67208-4110
Authorised official
- Name
- Rolex K Mudibo
- Title
- Ceo
- Phone
- (316) 847-3170
Registered specialties
Physical Disabilities Residential Treatment Facility
Primary
Registry record
- NPI
- 1356170906
- Entity type
- Organization
- NPI issued
- 31 Jul 2024
- Record last updated
- 31 Jul 2024
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.