# FOUR COUNTY MENTAL HEALTH CENTER, INC.

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Active Partners Home Health Care
- **Organization subpart:** No

## Provider details

- **NPI number:** 1386957736
- **Authorized official:** JODI HAYSE (DIRECTOR OF BUSINESS OPERATIONS)
- **Authorized official phone:** (620) 331-1748

## Contact information

- **Practice address:** 415 FRUITLAND AVE, INDEPENDENCE, KS 67301-8592
- **Practice address phone:** (620) 332-8586
- **Mailing address:** PO BOX 688, INDEPENDENCE, KS 67301-0688

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | A-103003 | KS | Yes |

## Other

- **Enumeration date:** 07/14/2010
- **Last updated:** 01/31/2013