NPI 1194170274

Dream Vision LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Wichita, KS

Practice location

Address: 1655 S Michelle CT, Wichita, KS 67207-6547
Phone: (316) 461-1823

Authorised official

Name: Beatrix Mayenga
Title: Director
Phone: (316) 461-1823

Registered specialties (4)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320900000X

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Developmentally Disabled Services Day Training Agency

Agencies Taxonomy 251C00000X

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Physical Disabilities Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320700000X

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Mental Illness Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320800000X

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Registry record

NPI: 1194170274
Entity type: Organization
NPI issued: 26 Apr 2016
Record last updated: 26 Apr 2016

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.