IndividualActive
Mecca Samuels
NPI 1205717527 · Nursing Home Administrator · Wichita, KS
Provider details
- NPI number
- 1205717527
- Entity type
- Individual
- Primary specialty
- Nursing Home AdministratorNursing Service Related Providers
- Sex
- Female
- Sole proprietor
- No
- License
- 1824 (KS)
Specialties & taxonomies
Nursing Service Related Providers
Practice location
1828 S White Oak Cir
Wichita, KS 67207-5145
Phone: (202) 853-7959
Approximate (ZIP-level) locationGet directions
Mailing address
1828 S White Oak Cir
Wichita, KS 67207-5145
Registry dates
- Enumerated
- 2025-09-11
- Last updated
- 2025-09-11
- Certified
- 2025-09-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.