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Organization

GOODWILL INDUSTRIES EASTER SEALS OF KS, INC.

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. CURTIS E. TATUM (VICE PRESIDENT)
(316) 744-9291
Entity
Organization

Contact information

Practice address
3636 N OLIVER ST, WICHITA, KS 67220-3403
(316) 744-9291
(316) 744-1428
Mailing address
PO BOX 8169, WICHITA, KS 67208-0169
(316) 744-9291
(316) 744-1428

Taxonomy

Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
KS
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
KS

Other

Enumeration date
04/24/2007
Last updated
09/11/2025
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