Organization
RISING PHOENIX COMMUNITY LIVING, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SANDRA LAUREN YODER (OWNER)
(785) 331-9323
Entity
Organization
Contact information
Practice address
402 JOHN DOY CT, LAWRENCE, KS 66049-4257
(785) 331-9323
Mailing address
402 JOHN DOY CT, LAWRENCE, KS 66049-4257
(785) 331-9323
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
—
—
320700000X
Physical Disabilities Residential Treatment Facility
—
—
Other
Enumeration date
07/13/2017
Last updated
12/13/2024
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