Provider Demographics
NPI:1205191178
Name:THE MEADOWS
Entity Type:Organization
Organization Name:THE MEADOWS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ARNP/OPERATOR/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VEOMANY
Authorized Official - Middle Name:
Authorized Official - Last Name:DANG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-650-7620
Mailing Address - Street 1:15 CRESTVIEW LAKES EST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67220-2913
Mailing Address - Country:US
Mailing Address - Phone:316-295-2760
Mailing Address - Fax:
Practice Address - Street 1:15 CRESTVIEW LAKES EST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67220-2913
Practice Address - Country:US
Practice Address - Phone:316-295-2760
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-06
Last Update Date:2012-07-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSB087192311ZA0620X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home