Organization
NDJJ CORP
Active
Other names
Home Away from Home
Organization subpart
No
Provider details
NPI number
Authorized official
NICHOLE MARIE SEILER (OWNER/OPERATOR)
(316) 253-5788
Entity
Organization
Contact information
Practice address
6403 E MARJORE, WICHITA, KS 67206
(316) 253-5788
(316) 201-6372
Mailing address
6403 E MARJORIE ST, WICHITA, KS 67206-1421
(316) 253-5788
(316) 201-6372
Taxonomy
Speciality
Code
Description
License number
State
311ZA0620X
Adult Care Home Facility
Primary
B087202
KS
Other
Enumeration date
02/14/2014
Last updated
02/14/2014
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