Provider Demographics
NPI:1972815652
Name:SUNFLOWER MEADOWS #1
Entity type:Organization
Organization Name:SUNFLOWER MEADOWS #1
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:BRENDA
Authorized Official - Middle Name:SUE
Authorized Official - Last Name:TUTEN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-686-6864
Mailing Address - Street 1:1944 LORI LN
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67207-5169
Mailing Address - Country:US
Mailing Address - Phone:316-686-6864
Mailing Address - Fax:316-686-0781
Practice Address - Street 1:649 N STRATFORD LN
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-1529
Practice Address - Country:US
Practice Address - Phone:316-683-6660
Practice Address - Fax:316-686-0781
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-07-09
Last Update Date:2010-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSBO87099313M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility