Organization
WINNING OUT LOUD LLC
Active
Other names
Winning out loud
Organization subpart
No
Provider details
NPI number
Authorized official
KEENA D CHARLES (OWNER)
(316) 214-1967
Entity
Organization
Contact information
Practice address
2620 E 21ST ST N, WICHITA, KS 67214-2248
(316) 652-5520
(844) 411-9017
Mailing address
2620 E 21ST ST N, WICHITA, KS 67214-2248
(316) 652-5520
(844) 411-9017
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1275012635
—
KS
Enumeration date
11/15/2019
Last updated
11/15/2019
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