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Pnc Group LLC — NPI 1093419764, Wichita, KS | NPI Central

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NPI 1093419764

OrganizationActive

Pnc Group LLC

NPI 1093419764 · Adult Care Home Facility · Wichita, KS

Provider details

NPI number: 1093419764
Entity type: Organization
Primary specialty: Adult Care Home FacilityNursing & Custodial Care Facilities
Organization subpart: No
Authorized official: Derek Hammond, Owner(316) 806-9242

Specialties & taxonomies

Adult Care Home FacilityPrimary311ZA0620X
Nursing & Custodial Care Facilities
Assisted Living Facility310400000X
Nursing & Custodial Care Facilities

Practice location

5501 E Polo Dr

Wichita, KS 67208-2753

Phone: (316) 806-9242

Approximate (ZIP-level) locationGet directions

More KS providers

Mailing address

5501 E Polo Dr

Wichita, KS 67208-2753

Other names (DBA / former)

Doing business as: Advanced Care Home Plus

Registry dates

Enumerated: 2023-03-28
Last updated: 2023-03-28
Certified: 2023-03-28

Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.