NPI 1629801451
Monica Nacole Roseborough, OPERATOROWNER
Practice location
- Address
- 4911 S Meridian Ave, Wichita, KS 67217-3709
- Phone
- (316) 806-1588
- Fax
- (316) 352-7646
Registered specialties (2)
Nursing Care Agency
Primary
Assisted Living Facility
Registry record
- NPI
- 1629801451
- Entity type
- Individual
- Sex (as registered)
- Male
- NPI issued
- 26 Aug 2024
- Record last updated
- 26 Aug 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.