# MY LIFE SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215365879
- **Authorized official:** SUSAN RACHELLE BECKER (OWNER/DIRECTOR)
- **Authorized official phone:** (620) 203-0344

## Contact information

- **Practice address:** 1208 LYNX RD SW, BURLINGTON, KS 66839-9249
- **Practice address phone:** (620) 364-2072
- **Practice address fax:** (785) 260-9047
- **Mailing address:** 1208 LYNX RD SW, BURLINGTON, KS 66839-9249
- **Mailing address phone:** (620) 364-2072
- **Mailing address fax:** (785) 260-9047

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 320600000X | Intellectual and/or Developmental Disabilities Residential Treatment Facility | — | NULL | Yes |

## Other

- **Enumeration date:** 10/17/2013
- **Last updated:** 10/17/2013