Organization
VIP QUALITY SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERIC F HERNDON (OWNER/DIRECTOR)
(913) 712-8588
Entity
Organization
Contact information
Practice address
851 N MARTWAY DR, OLATHE, KS 66061-7053
(913) 712-8588
(913) 712-8599
Mailing address
851 N MARTWAY DR, OLATHE, KS 66061-7053
(913) 712-8588
(913) 712-8599
Taxonomy
Speciality
Code
Description
License number
State
320900000X
Intellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
Primary
—
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
20090670A
—
KS
Enumeration date
10/16/2013
Last updated
10/16/2013
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