National Provider Identifier Database

SULLIVAN GANG CARE CENTER
Day Training, Developmentally Disabled Services

These agencies are authorized to provide day habilitation services to developmentally disabled individuals who live in their homes. The function of day habilitation is to assist an individual to acquire and maintain those life skills that enable the individual to cope more effectively with the demands of independent living. Also to raise the level of the individual's physical, mental, social, and vocational functioning.


Contact Information

SULLIVAN GANG CARE CENTER
6719 W. DOUGLAS CIRCLE
WICHITA, KS67209
Phone: 316-838-4862
Fax: 316-262-2970
Website:
Specialty Taxonomy Code
* Day Training, Developmentally Disabled Services 251C00000X
Personal Care Attendant 3747P1801X

* Indicates primary specialty

NPI Profile & details for SULLIVAN GANG CARE CENTER

NPI Number 1225246317
Legal business name
LBN
SULLIVAN GANG CARE CENTER
Authorized official GREGORY SULLIVAN - (OWNER)
Entity Organization
Organization subpart No
Enumeration date 05/20/2007
Last updated 06/02/2016 - About 10 years ago
Sole proprietor1 Not specified
Identifiers
  • KS License #: 100417670A
  • KS Medicaid: 100417670A

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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