Organization · Type 2 NPI
Mayberry Senior Living LLC
Adult Care Home Facility · Wichita, KS
NPI number
1033825963
Active
Practice location
244 N Rutan St
Wichita, KS 67208-3329
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Meals Provider | 174200000X | None listed |
| Lodging Provider | 177F00000X | None listed |
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
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About NPI 1033825963
Mayberry Senior Living LLC's National Provider Identifier is 1033825963, issued on Jan 24, 2023. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Wichita, KS. The record was last updated on Jan 24, 2023.