Organization
CREATIVE COMMUNITY LIVING OF SOUTH CENTRAL KANSAS, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. TAMI S SHAW (CHIEF FINANCIAL OFFICER)
(620) 221-9431
Entity
Organization
Contact information
Practice address
1500 E 8TH AVE, SUITE 201, WINFIELD, KS 67156-3104
(620) 221-9431
(620) 221-9336
Mailing address
1500 E 8TH AVE, SUITE 201, WINFIELD, KS 67156-3104
(620) 221-9431
(620) 221-9336
Taxonomy
Speciality
Code
Description
License number
State
251B00000X
Case Management Agency
Primary
—
—
Other
Enumeration date
04/13/2007
Last updated
08/22/2020
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