Individual
PAULA DENISE CARTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OPERATOR
Contact information
Practice address
5701 E 17TH ST N, WICHITA, KS 67208-1703
(316) 807-6761
(316) 440-0807
Mailing address
5701 E 17TH ST N, WICHITA, KS 67208-1703
(316) 807-6761
(316) 440-0807
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087203
KS
Other
Enumeration date
04/24/2014
Last updated
04/24/2014
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