Organization
ARROWHEAD WEST, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. LORI PENDERGAST (PRESIDENT)
(620) 227-8803
Entity
Organization
Contact information
Practice address
1100 E WYATT EARP BLVD, DODGE CITY, KS 67801-5337
(620) 227-8803
(620) 227-8812
Mailing address
1100 E WYATT EARP BLVD, DODGE CITY, KS 67801-5337
(620) 227-8803
(620) 227-8812
Taxonomy
Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
—
—
171WV0202X
Vehicle Modifications Contractor
Primary
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
—
—
251E00000X
Home Health Agency
—
—
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/15/2006
Last updated
09/11/2025
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