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Organization
FOUR COUNTY MENTAL HEALTH CENTER
Active
Organization
FOUR COUNTY MENTAL HEALTH CENTER
Active
Other names
Active Partners In Home Services
Organization subpart
No
Provider details
NPI number
Authorized official
MR. GREG HENNEN (EXECUTIVE DIRECTOR)
(620) 331-1748
Entity
Organization
Contact information
Practice address
415 FRUITLAND, INDEPENDENCE, KS 67301
(620) 332-8584
Mailing address
PO BOX 688, INDEPENDENCE, KS 67301-0688
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
A103009
KS
Other
Enumeration date
03/15/2010
Last updated
11/11/2011
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