Individual
ROLLAND MACE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
806 W, PENNSYLVANIA ST., HIGHLAND, KS 66035
(785) 442-3899
Mailing address
PO BOX 402, HIGHLAND, KS 66035-0402
(785) 442-3899
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
—
Other
Enumeration date
02/08/2007
Last updated
07/08/2007
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