MRS. Krista Lee Wade

NPI #1629116694 in Olathe, Kansas

Provider Information

NPI Number: 1629116694
Entity Type: Individual
Name: MRS. Krista Lee Wade
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Enumeration Date: Feb 2, 2007
Last Updated: Jul 8, 2007

Practice Location

Address: 12520 S COTTONWOOD DR
City: Olathe
State: Kansas
ZIP Code: 66062-1196
Phone: (913) 393-3386

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Residential Treatment Facility, Intellectual and/or Developmental Disabilities	320600000X	Primary

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