Organization
INDEPENDENT LIVING CENTER OF NORTHEAST KANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
KEN GIFFORD (PRESIDENT CEO)
(913) 367-1830
Entity
Organization
Contact information
Practice address
521 COMMERCIAL ST, SUITE C, ATCHISON, KS 66002-2418
(913) 367-1830
(913) 367-1430
Mailing address
521 COMMERCIAL ST, SUITE C, ATCHISON, KS 66002-2418
(913) 367-1830
(913) 367-1430
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
02/21/2006
Last updated
08/22/2020
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