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Organization

REFLECTION LIVING OF HIDDEN LAKES

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MRS. SUSAN KAY ENGELS RN (OWNER/OPERATOR)
(316) 992-2119
Entity
Organization

Contact information

Practice address
550 S CIRCLE LAKE RD, WICHITA, KS 67209-1005
(316) 992-2119
(316) 425-5531
Mailing address
550 S CIRCLE LAKE RD, WICHITA, KS 67209-1005
(316) 992-2119
(316) 425-5531

Taxonomy

Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087155
KS
311ZA0620X
Adult Care Home Facility
B087162
KS

Other

Enumeration date
05/31/2009
Last updated
06/01/2009
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