Organization
SOUTHEAST KANSAS INDEPENDENT LIVING RESOURCE CENTER INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHARI J COATNEY (DIRECTOR CEO)
(620) 421-5502
Entity
Organization
Contact information
Practice address
1801 MAIN ST, PARSONS, KS 67357-3367
(620) 421-5502
(620) 421-3705
Mailing address
PO BOX 957, PARSONS, KS 67357-0957
(620) 421-5502
(620) 421-3705
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251B00000X
Case Management Agency
—
—
251E00000X
Home Health Agency
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
332BC3200X
Customized Equipment (DME)
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100021850 A
—
KS
05
—
100021850 B
—
KS
05
—
100021850 D
—
KS
05
—
100025230 A
—
KS
05
—
100042860 A
—
KS
Enumeration date
01/11/2007
Last updated
01/29/2016
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