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Organization

WICHITA TRAN4MATION LLC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. AUBREY R BANKS (CEO)
(316) 990-8677
Entity
Organization

Contact information

Practice address
1217 S LINDEN ST, WICHITA, KS 67207-3644
(316) 687-0456
(316) 687-0458
Mailing address
1217 S LINDEN ST, WICHITA, KS 67207-3644
(316) 687-0456
(316) 687-0458

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
200851410B
KS
Enumeration date
05/16/2013
Last updated
05/16/2013
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