Whalio Doctors

NPI 1740990084

Phoenix Developmental Services LLC

Organisation Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Emporia, KS

Practice location

Address
1114 East St APT 2, Emporia, KS 66801-7103
Phone
(620) 481-7728
Mailing address
2400 W View Ter, Emporia, KS 66801-5951

Authorised official

Name
Roy T Lingenfelter
Title
Owner-Director
Phone
(620) 481-7728

Registered specialties (2)

Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility Primary
Residential Treatment Facilities Taxonomy 320900000X
Developmentally Disabled Services Day Training Agency
Agencies Taxonomy 251C00000X

Registry record

NPI
1740990084
Entity type
Organization
NPI issued
28 Nov 2022
Record last updated
28 Nov 2022

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.