Organization
MY LIFE SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SUSAN RACHELLE BECKER (OWNER/DIRECTOR)
(620) 203-0344
Entity
Organization
Contact information
Practice address
1208 LYNX RD SW, BURLINGTON, KS 66839-9249
(620) 364-2072
(785) 260-9047
Mailing address
1208 LYNX RD SW, BURLINGTON, KS 66839-9249
(620) 364-2072
(785) 260-9047
Taxonomy
Speciality
Code
Description
License number
State
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
Primary
—
—
Other
Enumeration date
10/17/2013
Last updated
10/17/2013
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