Individual provider · Type 1 NPI

Breanna Wicker

Adult Care Home Facility · Wichita, KS

NPI number 1679340608 Active

Practice location

406 S Market St
Wichita, KS 67202-3904

Call (315) 737-7207 Map

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620XNone 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 1679340608

Breanna Wicker's National Provider Identifier is 1679340608, issued on Dec 11, 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 Dec 11, 2023.