Organization
MULTI COMMUNITY DIVERSIFIED SERVICES, INC.
Active
Other names
South Maple House
Organization subpart
No
Provider details
NPI number
Authorized official
MR. COLIN MCKENNEY (CEO)
(620) 241-6693
Entity
Organization
Contact information
Practice address
500 S MAPLE ST, MCPHERSON, KS 67460-5317
(620) 241-4473
Mailing address
2107 INDUSTRIAL DR, MCPHERSON, KS 67460-8128
(620) 241-6693
(620) 241-6699
Taxonomy
Speciality
Code
Description
License number
State
315P00000X
Intellectual Disabilities Intermediate Care Facility
Primary
N-059-012
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100108380G
—
KS
Enumeration date
03/09/2006
Last updated
06/17/2008
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