# KTW, LLC

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

## Provider details

- **NPI number:** 1790030476
- **Authorized official:** MR. MAX COLE (OWNER)
- **Authorized official phone:** (316) 683-0562

## Contact information

- **Practice address:** 551 S HOLLAND ST, WICHITA, KS 67209-2007
- **Practice address phone:** (316) 337-5461
- **Mailing address:** 9435 E. CENTRAL, SUITE 200, WICHITA, KS 67206
- **Mailing address phone:** (316) 683-0562

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 311ZA0620X | Adult Care Home Facility | B087171 | KS | Yes |

## Other

- **Enumeration date:** 07/18/2012
- **Last updated:** 07/18/2012