Organization
INDEPENDENCE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. JILL ALANE ENYART (CO EXECUTIVE DIRECTOR)
(785) 841-0333
Entity
Organization
Contact information
Practice address
2001 HASKELL AVENUE, LAWRENCE, KS 66046
(785) 841-0333
(785) 841-1094
Mailing address
2001 HASKELL AVENUE, LAWRENCE, KS 66046
(785) 841-0333
(785) 841-1094
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100008680A
—
KS
Enumeration date
05/15/2007
Last updated
02/28/2014
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