Organization
MEDLIFE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIANA PETRO (CO-OWNER)
(316) 650-9072
Entity
Organization
Contact information
Practice address
1000 S DOWELL TER, WICHITA, KS 67207-4312
(316) 208-6353
(316) 226-8094
Mailing address
1000 S DOWELL TER, WICHITA, KS 67207-4312
(316) 208-6353
(316) 226-8094
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
07/10/2024
Last updated
08/21/2024
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