Organization
PRAIRIE INDEPENDENT LIVING RESOURCE CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. CHRISTINE L OWENS (EXECUTIVE DIRECTOR)
(620) 663-3989
Entity
Organization
Contact information
Practice address
17 S MAIN ST, HUTCHINSON, KS 67501-5421
(620) 663-3989
(620) 663-4711
Mailing address
17 S MAIN ST, HUTCHINSON, KS 67501-5421
(620) 663-3989
(620) 663-4711
Taxonomy
Speciality
Code
Description
License number
State
251V00000X
Voluntary or Charitable Agency
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
100317960B
—
KS
05
—
100317960C
—
KS
05
—
100317960D
—
KS
Enumeration date
01/29/2007
Last updated
11/21/2013
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