Organization Name: | CHANDLER ENTERPRISES, LLC |
NPI Number: | 1174986392 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ANGEL CHANDLER (OWNER) |
Mailing Address: | 2426 E Conquest St Wichita |
State: | KS US |
Postal Code: | 672194768 |
Phone Number: | 3163716916 |
Fax Number: | 3164405692 |
NPI Enumeration Date: | 04/04/2016 |
NPI Last Update Date: | 04/04/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 385H00000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Respite Care Facility |
Taxonomy Classification: | Respite Care |
Taxonomy Specialization: | |
Taxonomy Definition: |