INDEPENDENT GUARDIAN LLC NPI 1114355476

NPI Information

INDEPENDENT GUARDIAN LLC is a respite care and mental retardation and/or developmental disabilities respite care in Wichita, KS. The provider is a facility or distinct part of a facility that provides short term, residential care to children, diagnosed with intellectual and/or developmental disabilities as respite for the regular caregivers. INDEPENDENT GUARDIAN LLC NPI is 1114355476. The provider is registered as an organization entity type.

The provider's business location address is:

550 S ESTELLE ST
WICHITA, KS
ZIP 67211-909
Phone: (316) 880-1742

The provider's authorized official is Aaron Deckinger .
The authorized official title is Owner and has the following contact phone number (316) 880-1742.

The enumeration date for this NPI number is 10/24/2013 and was last updated on 10/24/2013.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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