NPI 1265587356

Bethesda Lutheran Communities

Organisation Mental Illness Intermediate Care Facility Shawnee Mission, KS

Practice location

Address: 14150 W 113th St, Shawnee Mission, KS 66215-4819
Phone: (913) 906-5009
Fax: (913) 469-4028

Authorised official

Name: Jeffrey A. Kaczmarski
Title: Chief Legal Affairs Officer
Phone: (920) 206-4406

Registered specialties (3)

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X Licence 1141302101 (KS)

Other Intermediate Care Facility, Mental Illness providers in Kansas →

Case Management Agency

Agencies Taxonomy 251B00000X Licence 0841302101 (KS)

Other Case Management providers in Kansas →

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility

Residential Treatment Facilities Taxonomy 320900000X

Other Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Kansas →

Registry record

NPI: 1265587356
Entity type: Organization
NPI issued: 25 Jan 2007
Record last updated: 11 May 2017

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.