Organization
SUNFLOWER DIVERSIFIED SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES JOHNSON (EXECUTIVE DIRECTOR)
16207921321
Entity
Organization
Contact information
Practice address
8823 FOURTH STREET, GREAT BEND, KS 67530-0838
(620) 792-1321
(620) 793-4709
Mailing address
PO BOX 838, GREAT BEND, KS 67530-0838
(162) 079-2132
(620) 793-4709
Taxonomy
Speciality
Code
Description
License number
State
235Z00000X
Speech-Language Pathologist
—
—
251B00000X
Case Management Agency
—
—
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251E00000X
Home Health Agency
—
—
261QD1600X
Developmental Disabilities Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
3747P1801X
Personal Care Attendant
—
—
Other
Enumeration date
03/28/2007
Last updated
05/28/2008
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