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Organization

SEQUEL OF KANSAS, LLC

Active
Parent organization
SEQUEL OF KANSAS, LLC
Other names
dba Riverside Academy, previously Camelot of Kansas, LLC
Organization subpart
Yes

Provider details

NPI number
Legal business name
SEQUEL OF KANSAS, LLC
Authorized official
MS. HEATHER D. SELL MSM (EXECUTIVE DIRECTOR)
(316) 267-5710
Entity
Organization

Contact information

Practice address
2050 W. 11TH ST N,, WICHITA, KS 67203
(316) 267-5710
(316) 267-5710
Mailing address
1131 EAGLETREE LANE, HUNTSVILLE, AL 35801
(256) 880-3339
(256) 880-7026

Taxonomy

Speciality
Code
Description
License number
State
323P00000X
Psychiatric Residential Treatment Facility
Primary
62020
KS
323P00000X
Psychiatric Residential Treatment Facility

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
128807500
WY
05
200540330B
KS
Enumeration date
09/06/2007
Last updated
08/30/2011
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