NPI 1649135922

Golden Grace LLC

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

Practice location

Address: 5619 N Meridian CT, Wichita, KS 67204-6602
Phone: (316) 312-0768

Authorised official

Name: Blaise Bigabwa
Title: Partner/Owner
Phone: (316) 990-7299

Registered specialties

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

Residential Treatment Facilities Taxonomy 320900000X

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Registry record

NPI: 1649135922
Entity type: Organization
NPI issued: 18 Dec 2025
Record last updated: 18 Dec 2025

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.