NPI 1457493637

Community Living Opportuniteis

Organisation Mental Illness Intermediate Care Facility Lenexa, KS

Practice location

Address: 11627 W 79th St, Lenexa, KS 66214-1488
Phone: (913) 341-9316
Fax: (913) 341-1198
Mailing address: PO Box 14395, Lenexa, KS 66285-4395

Authorised official

Name: Stephen Floyd
Title: Financial Analyst
Phone: (913) 341-9316

Registered specialties

Mental Illness Intermediate Care Facility Primary

Nursing & Custodial Care Facilities Taxonomy 310500000X

Other Intermediate Care Facility, Mental Illness providers in Kansas →

Registry record

NPI: 1457493637
Entity type: Organization
NPI issued: 13 Feb 2007
Record last updated: 22 Aug 2020

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.