# THE SWEET LIFE AT SHAWNEE

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

## Provider details

- **NPI number:** 1992828362
- **Authorized official:** MRS. STACEY JOHNSON RN (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (913) 248-1500

## Contact information

- **Practice address:** 11400 W 65TH ST, SHAWNEE, KS 66203-5555
- **Practice address phone:** (913) 248-1500
- **Practice address fax:** (913) 248-0030
- **Mailing address:** 11400 W 65TH ST, SHAWNEE, KS 66203-5555
- **Mailing address phone:** (913) 248-1500
- **Mailing address fax:** (913) 248-0030

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 323P00000X | Psychiatric Residential Treatment Facility | NO46053 | KS | Yes |

## Other

- **Enumeration date:** 04/09/2007
- **Last updated:** 08/22/2020