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Contact Information

SULLIVAN GANG CARE CENTER
6719 W. DOUGLAS CIRCLE
WICHITA, KS67209
 Phone: 316-838-4862
 Fax: 316-262-2970
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Day Training, Developmentally Disabled Services

251C00000X
 

Personal Care Attendant

3747P1801X
Indicates primary specialty

NPI Profile & details for SULLIVAN GANG CARE CENTER

NPI # 1225246317
LBN Legal business name SULLIVAN GANG CARE CENTER
Authorized official GREGORY SULLIVAN - (OWNER)
Entity Organization
Organization subpart 1 No
Enumeration date 05/20/2007
Last updated 06/02/2016 - About 10 years ago
Identifiers
KS License # 100417670A
KS Medicaid 100417670A
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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