NPI 1114355476
Independent Guardian LLC
Practice location
- Address
- 550 S Estelle St, Wichita, KS 67211-2909
- Phone
- (316) 880-1742
Authorised official
- Name
- Aaron Deckinger
- Title
- Owner
- Phone
- (316) 880-1742
Registered specialties
Child Intellectual and/or Developmental Disabilities Respite Care
Primary
Registry record
- NPI
- 1114355476
- Entity type
- Organization
- NPI issued
- 24 Oct 2013
- Record last updated
- 24 Oct 2013
Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.