NPI 1679468565

Adella Christine Rucker

Practitioner Adult Care Home Facility Wichita, KS

Practice location

Address: 632 Courtleigh St, Wichita, KS 67218-2804
Phone: (316) 512-6019
Mailing address: 508 E Shade, Andover, KS 67002-8633

Registered specialties

Adult Care Home Facility Primary

Nursing & Custodial Care Facilities Taxonomy 311ZA0620X Licence 212 (KS)

Other Custodial Care Facility providers in Kansas →

Registry record

NPI: 1679468565
Entity type: Individual
Sex (as registered): Female
NPI issued: 11 Jun 2025
Record last updated: 11 Jun 2025

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.