NPI 1215365879

My Life Services LLC

Organisation Intellectual and/or Developmental Disabilities Residential Treatment Facility Burlington, KS

Practice location

Address: 1208 Lynx Rd SW, Burlington, KS 66839-9249
Phone: (620) 364-2072
Fax: (785) 260-9047

Authorised official

Name: Susan Rachelle Becker
Title: Owner/Director
Phone: (620) 203-0344

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

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Registry record

NPI: 1215365879
Entity type: Organization
NPI issued: 17 Oct 2013
Record last updated: 17 Oct 2013

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.