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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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