Organization
SPECTRUM DEVELOPMENTAL SERVICES INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. PAUL DENNIS SHOEMAKER (PRESIDENT)
(316) 207-8377
Entity
Organization
Contact information
Practice address
328 W 2ND ST APT 5, ANDOVER, KS 67002-9775
(316) 361-0045
Mailing address
501 S LEONINE ST, WICHITA, KS 67213-2236
(316) 361-0045
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
—
KS
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KS
Other
Enumeration date
09/05/2013
Last updated
07/20/2016
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