Provider Demographics
NPI:1770865321
Name:LCD UNLIMITED, INC
Entity Type:Organization
Organization Name:LCD UNLIMITED, INC
Other - Org Name:CARING HEARTS FOR SENIOR LIVING
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT/OPERATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:CATHY
Authorized Official - Middle Name:LORANE
Authorized Official - Last Name:DIERKS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-993-8942
Mailing Address - Street 1:11509 W. BURTON
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67209-4049
Mailing Address - Country:US
Mailing Address - Phone:316-721-4803
Mailing Address - Fax:316-773-2492
Practice Address - Street 1:1229 S. BYRON RD
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67209-1811
Practice Address - Country:US
Practice Address - Phone:316-773-9726
Practice Address - Fax:316-773-2492
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-09-09
Last Update Date:2011-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility