Organization
TRANSITION ADULT HOME
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. LARONE JOSEPH SMITH (PRESIDENT)
(316) 209-0940
Entity
Organization
Contact information
Practice address
7422 E LINCOLN ST, WICHITA, KS 67207
(316) 209-0940
Mailing address
7422 E LINCOLN ST, WICHITA, KS 67207-2729
(316) 209-0940
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Enumeration date
05/02/2018
Last updated
06/06/2018
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