Reflection Living Of Hidden Lakes

NPI 1174759575 - Custodial Care Facility - 311ZA0620X

NPI Details
NPI 1174759575
Enumeration Date 05/31/2009
Last Updated 06/01/2009
Entity Type Healthcare Provider
Active Over 7 years ago
Authorized Information
Name SUSAN KAY SUSAN
Position OWNER/OPERATOR
Phone (316) 992-2119
Fax (316) 425-5531
Practice Location
550 S CIRCLE LAKE RD
WICHITA KS, 67209-1005, US
Phone (316) 992-2119
Fax (316) 425-5531
Business Location
550 S CIRCLE LAKE RD
WICHITA KS, 67209-1005, US
Phone (316) 992-2119
Fax (316) 425-5531
Toxanomy
Taxonomy Code 311ZA0620X
License State Kansas
License Number B087162
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According to our database, Reflection Living Of Hidden Lakes NPI is 1174759575, taxonomy code is 311ZA0620X and license number is B087162, license state is located at Kansas. Reflection Living Of Hidden Lakes physically located at 550 S Circle Lake Rd, Wichita KS, 67209-1005. NPI Number 1033115704 has the healthcare provider type.

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1174759575 NPI number is provided on an as is basis without warranty of any kind. 1174759575 is maintained by the National Plan & Provider Enumeration System. The contents of Reflection Living Of Hidden Lakes are for informational purposes only.