Provider Demographics
NPI:1922347640
Name:ACCORD SENIOR CARE INC.
Entity Type:Organization
Organization Name:ACCORD SENIOR CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:D
Authorized Official - Last Name:BAKER-BRUSTER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:620-326-3369
Mailing Address - Street 1:624 N. HIGH DR.
Mailing Address - Street 2:
Mailing Address - City:WELLINGTON
Mailing Address - State:KS
Mailing Address - Zip Code:67152
Mailing Address - Country:US
Mailing Address - Phone:620-326-3369
Mailing Address - Fax:800-235-0369
Practice Address - Street 1:6311 E. MARJORIE
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-3629
Practice Address - Country:US
Practice Address - Phone:316-682-6849
Practice Address - Fax:800-235-0369
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA-07086310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility