Organization
DREAM VISION LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
BEATRIX MAYENGA (DIRECTOR)
(316) 461-1823
Entity
Organization
Contact information
Practice address
1655 S MICHELLE CT, WICHITA, KS 67207-6547
(316) 461-1823
Mailing address
1655 S MICHELLE CT, WICHITA, KS 67207-6547
(316) 461-1823
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
04/26/2016
Last updated
04/26/2016
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