Individual provider · Type 1 NPI

Adella Christine Rucker

Adult Care Home Facility · Wichita, KS

NPI number 1679468565 Active

Practice location

632 Courtleigh St
Wichita, KS 67218-2804

Call (316) 512-6019 Map

Mailing address

508 E Shade
Andover, KS 67002-8633

Specialties and licenses

TaxonomyCodeLicense
Adult Care Home Facility Primary 311ZA0620X212 (KS)

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 1679468565

Adella Christine Rucker's National Provider Identifier is 1679468565, issued on Jun 11, 2025. 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 Jun 11, 2025.