Provider Demographics
NPI:1750428181
Name:THE ARC OF SEDGWICK COUNTY, INC.
Entity type:Organization
Organization Name:THE ARC OF SEDGWICK COUNTY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACCOUNTANT
Authorized Official - Prefix:
Authorized Official - First Name:STACEY
Authorized Official - Middle Name:D
Authorized Official - Last Name:EVANS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-943-1191
Mailing Address - Street 1:2919 W 2ND ST N
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67203-5319
Mailing Address - Country:US
Mailing Address - Phone:316-943-1191
Mailing Address - Fax:316-943-3292
Practice Address - Street 1:2919 W 2ND ST N
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67203-5319
Practice Address - Country:US
Practice Address - Phone:316-943-1191
Practice Address - Fax:316-943-3292
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KS251B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251B00000XAgenciesCase Management