Organization
ELITE ADULT LIVING LLC
Active
Other names
ELITE ADULT LIVING LLC
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. JENNA AKPAN (OWNER)
(316) 712-2168
Entity
Organization
Contact information
Practice address
5001 LOOMAN ST, WICHITA, KS 67220-3030
(316) 712-2168
Mailing address
5003 N PEREGRINE ST, WICHITA, KS 67219-3000
(316) 712-2168
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
08/20/2020
Last updated
08/20/2020
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