Individual
MRS. JOYCE JEANETTE WEGELE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2068 NW 130 AVE, OTIS, KS 67565-9302
(620) 935-4281
Mailing address
2068 NW 130 AVE, OTIS, KS 67565-9302
(620) 935-4281
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KS
Other
Enumeration date
04/18/2007
Last updated
07/26/2007
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