# THERAPEUTIC TIME, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386086171
- **Authorized official:** LATRECA MARIE KELLEY (ADMINISTRATOR/OWNER)
- **Authorized official phone:** (316) 347-6633

## Contact information

- **Practice address:** 4438 E FALCON ST, WICHITA, KS 67220-1776
- **Practice address phone:** (316) 347-6633
- **Practice address fax:** (316) 744-0714
- **Mailing address:** PO BOX 20803, WICHITA, KS 67208-6803
- **Mailing address phone:** (316) 347-6633
- **Mailing address fax:** (316) 744-0714

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | 85352 | KS | Yes |
| 253Z00000X | In Home Supportive Care Agency | 85352 | KS | — |

## Other

- **Enumeration date:** 07/23/2013
- **Last updated:** 07/23/2013