IndividualActive
Adella Rucker
NPI 1679468565 · Adult Care Home Facility · Wichita, KS
Provider details
- NPI number
- 1679468565
- Entity type
- Individual
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Sex
- Female
- Sole proprietor
- Yes
- License
- 212 (KS)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Practice location
632 Courtleigh St
Wichita, KS 67218-2804
Phone: (316) 512-6019
Approximate (ZIP-level) locationGet directions
Mailing address
508 E Shade
Andover, KS 67002-8633
Registry dates
- Enumerated
- 2025-06-11
- Last updated
- 2025-06-11
- Certified
- 2025-06-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.