Organization
THE RUDY RANCH HOUSE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. KAREN JOYCE FRYE M.ED. (OWNER/DIRECTOR)
(316) 207-0539
Entity
Organization
Contact information
Practice address
4214 N 143RD ST E, WICHITA, KS 67228-8943
(316) 207-0539
Mailing address
4214 N 143RD ST E, WICHITA, KS 67228-8943
(316) 207-0539
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/07/2021
Last updated
10/07/2021
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