Organization
EQUAL INDEPENDENCE LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JANELL CARTER (OWNER)
(620) 412-2820
Entity
Organization
Contact information
Practice address
112 W 6TH AVE, EMPORIA, KS 66801-4067
(620) 412-2820
Mailing address
PO BOX 1101, EMPORIA, KS 66801-1101
(620) 412-2820
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
200462510A
KS
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
200462510A
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200462510A
—
KS
Enumeration date
01/02/2014
Last updated
01/02/2014
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