# JOHNSON COUNTY DEVELOPMENTAL SUPPORTS

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

## Provider details

- **NPI number:** 1568681518
- **Authorized official:** MRS. KARLA J GRAVENSTEIN (FINANCIAL MANAGER)
- **Authorized official phone:** (913) 826-2638

## Contact information

- **Practice address:** 10501 LACKMAN RD, LENEXA, KS 66219-1223
- **Practice address phone:** (913) 826-2626
- **Practice address fax:** (913) 826-2627
- **Mailing address:** 10501 LACKMAN RD, LENEXA, KS 66219-1223
- **Mailing address phone:** (913) 826-2626
- **Mailing address fax:** (913) 826-2627

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | KSA753307B | KS | Yes |

## Other

- **Enumeration date:** 04/25/2007
- **Last updated:** 03/19/2008