Provider Demographics
NPI:1841543204
Name:REFLECTIONS RESIDENTIAL CARE, LLC
Entity type:Organization
Organization Name:REFLECTIONS RESIDENTIAL CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:LUCILLE
Authorized Official - Last Name:HUNT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-239-1477
Mailing Address - Street 1:1201 N PINECREST ST
Mailing Address - Street 2:
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67208-2735
Mailing Address - Country:US
Mailing Address - Phone:316-239-1477
Mailing Address - Fax:316-239-1477
Practice Address - Street 1:1201 N PINECREST ST
Practice Address - Street 2:
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67208-2735
Practice Address - Country:US
Practice Address - Phone:316-239-1477
Practice Address - Fax:316-239-1477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-10-23
Last Update Date:2012-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251G00000XAgenciesHospice Care, Community Based