Organization
THE LOOKING GLASS DAY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTEN MICHELLE WARES (DIRECTOR/OWNER)
(316) 351-7554
Entity
Organization
Contact information
Practice address
602 S CHAUTAUQUA AVE, WICHITA, KS 67211-3007
(316) 351-7554
(316) 351-7554
Mailing address
602 S CHAUTAUQUA AVE, WICHITA, KS 67211-3007
(316) 351-7554
(316) 351-7554
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200602870A
KMAP PROVIDER NUMBER
KS
Enumeration date
06/27/2013
Last updated
06/27/2013
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