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Organization

ANNIE'S RESIDENTIAL CARE LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
ANNABELLE JOVER (CO-OWNER)
(720) 568-9565
Entity
Organization

Contact information

Practice address
1417 ST JOHN ST, WICHITA, KS 67211-3544
(720) 568-9565
Mailing address
10201 W STERLING CT, WICHITA, KS 67205-1557
(316) 300-8943

Taxonomy

Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary

Other

Enumeration date
12/19/2023
Last updated
12/26/2023
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