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General NPI Number Information
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NPI Number | 1184742660
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Entity Type | Organization
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Legal Business Name | ABAL HOMES, INC.
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Dates
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Enumeration Date | 03/26/2007
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Last Update Date | 08/22/2020
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Provider Practice Location Address
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Address Line | 228 N WINTERSET ST
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City | WICHITA
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State | KS
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Zip | 67212-6377
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Country | US
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Telephone | 316-943-9443
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Fax | 316-943-9443
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Provider Business Mailing Address
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Address Line | 2840 S HILLSIDE ST
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City | WICHITA
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State | KS
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Zip | 67216-2544
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Country | US
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Telephone | 316-684-7777
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Fax | 316-684-0135
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Authorized Official
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Title or Position | OWNER
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Name | MS. WANDA KAY LYDICK
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Credential | R.N.
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Telephone | 316-943-9443
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 313M00000X
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Taxonomy Name | Nursing Facility/Intermediate Care Facility
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License Number | N087009
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License Number State | KS
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