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Organization

LIFE MAGNIFIED

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MS. GERALDINE A HELLER-COOK (DIRECTOR)
(913) 859-9707
Entity
Organization

Contact information

Practice address
8203 LICHTENAUER DR, LENEXA, KS 66219-1637
(913) 859-9707
Mailing address
8203 LICHTENAUER DR, LENEXA, KS 66219-1637
(913) 859-9707

Taxonomy

Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
253Z00000X
In Home Supportive Care Agency
KS

Other

Enumeration date
12/18/2013
Last updated
12/18/2013
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